Individual
ERIK D MAYORGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6104 WHITEWAY DR, TEMPLE TERRACE, FL 33617-3105
(813) 205-4957
Mailing address
6109 WHITEWAY DR, TEMPLE TERRACE, FL 33617-3154
(813) 205-4957
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA56998
FL
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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