Individual
DENISE VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
16387 S TAMIAMI TRL, SUITE B, FORT MYERS, FL 33908-5317
(239) 437-0122
(239) 437-0621
Mailing address
16387 S TAMIAMI TRL, SUITE B, FORT MYERS, FL 33908-5317
(239) 437-0122
(239) 437-0621
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA26084
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C1988
BLUE CROSS BLUE SHIELD
FL
Enumeration date
02/03/2009
Last updated
02/03/2009
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