Individual
EVELYN ROSA DAVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
2321 SW 122ND CT, MIAMI, FL 33175-7318
(786) 515-7857
Mailing address
2321 SW 122ND CT, MIAMI, FL 33175-7318
(786) 515-7857
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA62457
FL
Other
Enumeration date
01/13/2012
Last updated
01/13/2012
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