Individual
LIZ MARIANA DIAZ BRAVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6290 SW 24TH PL APT 204, DAVIE, FL 33314-1161
(561) 929-5871
Mailing address
6290 SW 24TH PL APT 204, DAVIE, FL 33314-1161
(561) 929-5871
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA88672
FL
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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