Individual
MARIA LUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
394 VILLAGE DR, KISSIMMEE, FL 34759-4009
(407) 914-9168
Mailing address
2717 EAGLE CANYON DR S, KISSIMMEE, FL 34746-3170
(919) 606-6423
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA70368
FL
Other
Enumeration date
08/11/2019
Last updated
08/11/2019
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