Individual
MS. LISANDRA SOLEDAD MARINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2901 W. BUSCH BLVD., TAMPA, FL 33618
(813) 403-6379
Mailing address
2901 W BUSCH BLVD, TAMPA, FL 33618-4523
(813) 403-6379
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA45594
FL
Other
Enumeration date
06/17/2009
Last updated
06/17/2009
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