Individual
IDANIA MILAGROS HOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1500 WATERS EDGE DR, U201, TAMPA, FL 33603-3082
(813) 748-9296
Mailing address
1500 WATERS EDGE DR, U201, TAMPA, FL 33603-3082
(813) 748-9296
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA57647
FL
Other
Enumeration date
01/08/2010
Last updated
01/08/2010
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