Individual
GUILLERMO ABEL HENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9564 VENEZIA PLANTATION DR, ORLANDO, FL 32829-8115
(689) 259-1573
Mailing address
9564 VENEZIA PLANTATION DR, ORLANDO, FL 32829-8115
(689) 259-1573
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
99386
FL
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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