Individual
LAZARO JESUS VALDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4935 OKEECHOBEE BLVD, WEST PALM BEACH, FL 33417-4629
(561) 682-9383
Mailing address
203 FOXTAIL DR APT B3, GREENACRES, FL 33415-6001
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA59521
FL
Other
Enumeration date
09/21/2010
Last updated
09/21/2010
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