Individual
KWASI HEZEKIAH SCIPIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LMT
Contact information
Practice address
1201 WEST HILLSBOROUGH AVENUE, TAMPA, FL 33603
(813) 237-2434
Mailing address
1201 W HILLSBOROUGH AVE, TAMPA, FL 33603-1316
(813) 237-2434
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA59561
FL
Other
Enumeration date
08/09/2010
Last updated
08/09/2010
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