Individual
INDIRA BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2053 ARROWGRASS DR, WESLEY CHAPEL, FL 33544-4705
(813) 848-0363
Mailing address
2053 ARROWGRASS DR UNIT 207, WESLEY CHAPEL, FL 33544-4705
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA95316
FL
Other
Enumeration date
03/07/2021
Last updated
03/07/2021
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