Individual
ARIAN ROBERTO CARRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4369 W 16TH AVE, HIALEAH, FL 33012-7628
(786) 332-4506
Mailing address
4369 W 16TH AVE, HIALEAH, FL 33012-7628
(786) 332-4506
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT67499
FL
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
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