Individual
MR. GABRIEL MARQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
7110 SW 166TH PL, MIAMI, FL 33193-5820
(786) 521-4862
Mailing address
7110 SW 166TH PL, MIAMI, FL 33193-5820
(786) 521-4862
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA100169
FL
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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