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Individual

MS. KARIANNE LOSICCO GRUNERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.T

Contact information

Practice address
570 OCEAN DR, 501, JUNO BEACH, FL 33408-1952
(954) 491-2225
(954) 491-6862
Mailing address
615 NE 10TH ST, APT 203, HALLANDALE BEACH, FL 33009-2541
(954) 801-8957

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 47413
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MA 47413
LICENSED MASSAGE THERAPIST
FL
Enumeration date
08/12/2008
Last updated
08/12/2008
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