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Individual

JOSE M ZULUETA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA

Contact information

Practice address
13903 NW 67TH AVE STE 250, HIALEAH, FL 33014-2938
(786) 439-3996
(786) 439-3997
Mailing address
13903 NW 67TH AVE STE 250, HIALEAH, FL 33014-2938
(786) 439-3996
(786) 439-3997

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 39065
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
27 2113636
MASSAGE THERAPY
FL
Enumeration date
09/14/2010
Last updated
09/14/2010
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