Organization
LA PAZ SALON
Active
Organization
LA PAZ SALON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIEL UNGER LMT (DIRECTOR)
(610) 212-8865
Entity
Organization
Contact information
Practice address
9020 58TH DR E, BRADENTON, FL 34202-6107
(610) 212-8865
Mailing address
10927 KIRKWALL PORT DR, WIMAUMA, FL 33598-6146
(610) 212-8865
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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