Individual
MR. DENIS PUEBLA MENDOZA I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2611 BAYSHORE BLVD APT 405, TAMPA, FL 33629-7358
(786) 609-4584
Mailing address
2611 BAYSHORE BLVD BLDG UNIT406, TAMPA, FL 33629-7353
(786) 609-4584
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA106160
FL
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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