Individual
MS. ANDREA LISSET HURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
550 S PARK RD APT 8-38, HOLLYWOOD, FL 33021-8503
(954) 736-0381
Mailing address
550 S PARK RD APT 8-38, HOLLYWOOD, FL 33021-8503
(954) 736-0381
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33351
FL
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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