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Individual

KAREL LINO HERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2228 SW 29TH AVE, MIAMI, FL 33145-3339
(786) 975-5093
Mailing address
2228 SW 29TH AVE, MIAMI, FL 33145-3339
(786) 975-5093

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 66601
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MA 66601
MASSAGE THERAPIST
FL
Enumeration date
02/24/2012
Last updated
02/24/2012
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