Individual
JACQUELINE MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11276 SW 90TH LN, MIAMI, FL 33176-1168
(305) 528-5256
Mailing address
11276 SW 90TH LN, MIAMI, FL 33176-1168
(305) 528-5256
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA93598
FL
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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