Individual
MARENA COLLAZO-LUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4237 SALISBURY RD, BUILDING 1, SUITE 107, JACKSONVILLE, FL 32216
(305) 975-5454
Mailing address
2619 COLLEGE ST APT 5, JACKSONVILLE, FL 32204-3539
(305) 975-5454
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA100417
FL
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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