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Individual

INGRISS TRAVIESO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
2100 W 76TH ST, SUITE 209, HIALEAH, FL 33016-5539
(786) 260-5486
Mailing address
2100 W 76TH ST, SUITE 209, HIALEAH, FL 33016-5539
(786) 260-5486

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA57257
FL

Other

Enumeration date
10/15/2010
Last updated
07/28/2011
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