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Individual

MRS. KRISTI M RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
570 OCEAN DR, STE 501, JUNO BEACH, FL 33408-1952
(954) 599-8933
Mailing address
5051 SW 120TH AVE, COOPER CITY, FL 33330-5427
(954) 665-6879

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61810
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MA61810
LICENSED MASSAGE THERAPIST
FL
Enumeration date
05/26/2011
Last updated
05/26/2011
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