Individual
ILANA S MELGAREJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1976 NW 2ND ST APT 2, GAINESVILLE, FL 32609-4130
(352) 448-9772
Mailing address
1976 NW 2ND ST APT 2, GAINESVILLE, FL 32609-4130
(352) 448-9772
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA84481
FL
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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