Individual
IRMA E FONSECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19220 AQUA SHORE DR, FORT MYERS, FL 33913-9388
(201) 776-3925
(201) 776-3925
Mailing address
19220 AQUA SHORE DR, FORT MYERS, FL 33913-9388
(201) 776-3925
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA98170
FL
Other
Enumeration date
10/02/2025
Last updated
10/02/2025
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