Individual
CHRISSY C CLAVERIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA33104
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C1279
BLUE CROSS BLUE SHIELD
FL
Enumeration date
11/26/2007
Last updated
11/26/2007
Update your record
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