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Individual

LISA NEWKIRK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
12161 SW 251ST ST, HOMESTEAD, FL 33032-5973
(786) 873-1191
Mailing address
815 N HOMESTEAD BLVD # 102, HOMESTEAD, FL 33030-5024

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA59483
FL

Other

Enumeration date
01/21/2018
Last updated
01/21/2018
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