Individual
LOURDES GODOMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4431 SW 64TH AVE, 105, DAVIE, FL 33314-3458
(954) 316-1476
(954) 316-1130
Mailing address
4431 SW 64TH AVE, 105, DAVIE, FL 33314-3458
(954) 316-1476
(954) 316-1130
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA41147
FL
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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