Individual
FADILA L CLARISSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
299 N ORLANDO AVE, COCOA BEACH, FL 32931-2916
(321) 783-9400
Mailing address
1970 BARR ST, MERRITT ISLAND, FL 32952-5522
(321) 961-2792
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 45113
FL
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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