Individual
AGUEDA LUCIA CARRERA ALVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT63211
Contact information
Practice address
2757 SW 10TH ST APT 9, MIAMI, FL 33135-4648
(786) 312-6847
Mailing address
1000 SW 29TH AVE, APT. #6, MIAMI, FL 33135-4583
(786) 312-6847
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-120430
FL
225700000X
Massage Therapist
MA63211
FL
Other
Enumeration date
08/26/2011
Last updated
03/10/2021
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