Individual
LILLIAM MADIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
230 NW 218TH TER, PEMBROKE PINES, FL 33029-1093
(954) 441-0160
Mailing address
230 NW 218TH TER, PEMBROKE PINES, FL 33029-1093
(954) 441-0160
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA31005
FL
Other
Enumeration date
03/23/2011
Last updated
03/23/2011
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