Individual
MR. GARY DENESTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7200 W COMMERCIAL BLVD, SUITE 203, LAUDERHILL, FL 33319-2148
(954) 526-3518
Mailing address
7030 NW 40TH CT, CORAL SPRINGS, FL 33065-2212
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA71654
FL
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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