Individual
IVARY LEXUS BENTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA58726
Contact information
Practice address
5031 NASSAU CIR, ORLANDO, FL 32808-1733
(561) 379-6492
Mailing address
5031 NASSAU CIR, ORLANDO, FL 32808-1733
(561) 379-6492
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA58726
FL
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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