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Individual

HALLE FUENTES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
12301 LAKE UNDERHILL RD # 254, ORLANDO, FL 32828-4508
(407) 270-6601
(407) 270-6602
Mailing address
1052 W STATE ROAD 436 STE 1070, ALTAMONTE SPRINGS, FL 32714-2939
(407) 951-8921
(407) 951-8926

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA81952
FL

Other

Enumeration date
03/25/2019
Last updated
03/25/2019
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