Individual
LEONARDO A BETANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
921 NW 30 CT, MIAMI, FL 33125
(786) 312-7114
Mailing address
921 NW 30 CT, MIAMI, FL 33125
(786) 312-7114
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA65786
FL
Other
Enumeration date
02/07/2012
Last updated
02/07/2012
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