Individual
MALVIS CERVANTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.T
Contact information
Practice address
15241 SW 80TH ST APT 212, MIAMI, FL 33193-1338
(786) 291-5272
Mailing address
PO BOX 960607, MIAMI, FL 33296-0607
(786) 291-5272
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 63723
FL
Other
Enumeration date
02/03/2012
Last updated
02/03/2012
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