Individual
LUZ GALLON I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4200 CRYSTAL LAKE DR, POMPANO BEACH, FL 33064-1291
(954) 234-1411
Mailing address
4200 CRYSTAL LAKE DR, POMPANO BEACH, FL 33064-1291
(954) 234-1411
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA64526
FL
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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