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Individual

DAQUILA L HENDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
6630 SW 39TH ST APT B1, DAVIE, FL 33314-2438
(786) 452-2418
Mailing address
6630 SW 39TH ST APT B1, DAVIE, FL 33314-2438
(786) 452-2418

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA100747
FL

Other

Enumeration date
08/10/2022
Last updated
09/22/2022
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