Individual
DANYELLA MICHELLE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3453 CARLTON ARMS DR, TAMPA, FL 33614-4182
(813) 847-8525
Mailing address
3453 CARLTON ARMS DR, TAMPA, FL 33614-4182
(813) 847-8525
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
95567
FL
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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