Individual
MRS. MARISOL LEGON PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
250 NE 191ST ST, APT 3004 A, MIAMI, FL 33179-3889
(786) 306-2592
Mailing address
250 NE 191ST ST, APT 3004 A, MIAMI, FL 33179-3889
(786) 306-2592
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 51704
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA 51704
LICENSE MASSAGE THERAPIST
FL
Enumeration date
09/25/2008
Last updated
09/25/2008
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