Individual
MICHELE MOCTEZUMA GARGALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8585 NW 6 LANE, 209, MIAMI, FL 33126
(305) 527-3772
Mailing address
8585 NW 6 LANE, 209, MIAMI, FL 33126
(305) 527-3772
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MA37745
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA37745
MASSAGE THERAPIST
FL
Enumeration date
10/22/2009
Last updated
10/22/2009
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