Individual
MISS KLEIDY BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
170 ROYAL PALM RD APT 108, HIALEAH GARDENS, FL 33016-4867
(786) 262-4692
Mailing address
170 ROYAL PALM RD APT 108, HIALEAH GARDENS, FL 33016-4867
(786) 262-4692
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 45555
FL
Other
Enumeration date
04/05/2010
Last updated
04/05/2010
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