Individual
JUAN MANZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3090 N COURSE DR APT 302, POMPANO BEACH, FL 33069-3313
(954) 599-1334
Mailing address
3090 N COURSE DR APT 302, POMPANO BEACH, FL 33069-3313
(954) 599-1334
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA44082
FL
Other
Enumeration date
09/07/2020
Last updated
09/07/2020
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