Individual
LAZARO MOLINA ENAMORADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1002 SE 9 CT, CAPE CORAL, FL 33990
(305) 384-0010
Mailing address
1002 SE 9TH CT, CAPE CORAL, FL 33990-3099
(305) 384-0010
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
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