Individual
MRS. ANGIE Q AVILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
7401 WILES RD, CORAL SPRINGS, FL 33067-2036
(954) 818-0771
Mailing address
6110 NW 1ST ST, MARGATE, FL 33063-5113
(954) 818-0771
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA40560
FL
Other
Enumeration date
05/09/2010
Last updated
05/09/2010
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