Individual
MARIA ANTONIETA CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
415 SE 11TH CT APT 5, FORT LAUDERDALE, FL 33316-1150
(786) 498-6509
Mailing address
415 SE 11TH CT APT 5, FORT LAUDERDALE, FL 33316-1150
(786) 498-6509
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA93212
FL
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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