Individual
MRS. EDREY S MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT,MMP
Contact information
Practice address
698 SW PORT ST LUCIE BLVD STE 107, PORT SAINT LUCIE, FL 34953-1565
(772) 249-4058
Mailing address
698 SW PORT ST LUCIE BLVD STE 107, PORT SAINT LUCIE, FL 34953-1565
(772) 249-4058
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA54460
FL
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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