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Individual

GEORGE IVAN CARVALHO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
435 LAKEVIEW DR APT 101, WESTON, FL 33326-2447
(786) 315-6602
Mailing address
435 LAKEVIEW DR APT 101, WESTON, FL 33326-2447
(786) 315-6602

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA90950
FL

Other

Enumeration date
10/30/2021
Last updated
10/30/2021
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