Individual
JUAN MANUEL TEIJEIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
3900 NW 79TH AVE STE 324, DORAL, FL 33166-6547
(305) 310-1606
Mailing address
3900 NW 79TH AVE STE 324, DORAL, FL 33166-6547
(305) 310-1606
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA48466
FL
Other
Enumeration date
03/11/2011
Last updated
03/11/2011
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