Individual
MR. JESUS DELA COURET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1395 W SUNRISE BLVD, STE 1, FT LAUDERDALE, FL 33311-7076
(954) 616-5849
(954) 616-5851
Mailing address
1395 W SUNRISE BLVD, STE 1, FT LAUDERDALE, FL 33311-7076
(954) 616-5849
(954) 616-5851
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA26430
FL
Other
Enumeration date
04/20/2010
Last updated
04/20/2010
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