Individual
DARA GRANADOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1012 MARGARET ST, SUITE 102, JACKSONVILLE, FL 32204-3737
(904) 235-8104
Mailing address
2411 BRIAN LAKES DR E, JACKSONVILLE, FL 32221-2836
(904) 235-8104
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA53901
FL
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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