Individual
MR. JOSE LUIS FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
6290 W SAMPLE RD, #102, CORAL SPRINGS, FL 33067-3101
(954) 757-2939
(954) 757-2930
Mailing address
6290 W SAMPLE RD, #102, CORAL SPRINGS, FL 33067-3101
(954) 757-2939
(954) 757-2930
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA47128
FL
Other
Enumeration date
01/27/2010
Last updated
01/27/2010
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