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Individual

AILEN RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9804 SW 40TH ST, MIAMI, FL 33165-3912
(305) 222-9154
(305) 222-9155
Mailing address
5249 NW 7TH ST APT 403, MIAMI, FL 33126-3377
(305) 401-6216
(305) 222-9155

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA65906
FL

Other

Enumeration date
11/08/2011
Last updated
11/08/2011
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