Individual
IRIS MARIE CRUZ VILLAREAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10823 GROVEVIEW WAY, SANFORD, FL 32773-5981
(414) 469-0148
Mailing address
10823 GROVEVIEW WAY, SANFORD, FL 32773-5981
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
15526-146
WI
225700000X
Massage Therapist
Primary
99220
FL
Other
Enumeration date
03/16/2022
Last updated
03/16/2022
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