Individual
MISS MAYRA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
28331 S TAMIAMI TRL, SUITE 2, BONITA SPRINGS, FL 34134-3215
(239) 676-7269
(239) 676-7275
Mailing address
28331 S TAMIAMI TRL, SUITE 2, BONITA SPRINGS, FL 34134-3215
(239) 676-7269
(239) 676-7275
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA63831
FL
Other
Enumeration date
08/12/2011
Last updated
08/12/2011
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