Individual
JENNIFER GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1707 CORAL WAY, MIAMI, FL 33145-1234
(786) 338-9243
(786) 264-1383
Mailing address
8065 NW 108TH AVE, DORAL, FL 33178-6057
(786) 282-2813
(786) 264-1383
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA68116
FL
Other
Enumeration date
04/10/2012
Last updated
07/25/2013
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