Individual
CANDIDA FAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2309 W MLK BLVD, TAMPA, FL 33607
(813) 443-4948
Mailing address
2309 W MLK BLVD, TAMPA, FL 33607
(813) 443-4948
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA67515
FL
Other
Enumeration date
04/19/2012
Last updated
09/10/2012
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