Individual
MARIA LOSTAO IRAZUSTABARRENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1993 NW 45TH ST, FORT LAUDERDALE, FL 33309-3674
(252) 320-0160
Mailing address
1993 NW 45TH ST, FORT LAUDERDALE, FL 33309-3674
(252) 320-0160
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
81943
FL
Other
Enumeration date
10/18/2021
Last updated
09/05/2024
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