Individual
LILIANA VIDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2926 ROYAL PALM AVE APT 1, APTO 1, MIAMI BEACH, FL 33140-4342
(305) 343-2646
Mailing address
2926 ROYAL PALM AVE, APTO 1, MIAMI BEACH, FL 33140-4382
(305) 343-2646
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA46089
FL
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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