Individual
MAITE TOMAVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12105 NE 11TH PL APT 206, NORTH MIAMI, FL 33161-5852
(786) 316-5675
Mailing address
12105 NE 11TH PL APT 206, NORTH MIAMI, FL 33161-5852
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60477
FL
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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