Organization
LONGEVITY AND ME
Active
Organization
LONGEVITY AND ME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ADINE JEAN-GUILLAUME LIC.NURSE/MASSAGE TH (MGR)
(305) 725-4471
Entity
Organization
Contact information
Practice address
15290 WILSHIRE WAY, PEMBROKE PINES, FL 33027-2213
(305) 725-4471
Mailing address
15290 WILSHIRE WAY, PEMBROKE PINES, FL 33027-2213
(305) 725-4471
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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