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Individual

LESYANI MARTINEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MT

Contact information

Practice address
1311 E OAK ST, ARCADIA, FL 34266-8902
(863) 244-8010
(863) 491-7056
Mailing address
1102 W GIBSON ST, ARCADIA, FL 34266-3314
(786) 417-3141

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA47320
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MA47320
DEPARMENT OF HEALTH
FL
Enumeration date
08/27/2018
Last updated
08/27/2018
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