Individual
LIVAN RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
2336 CLEVELAND AVE, FORT MYERS, FL 33901
(239) 288-7457
Mailing address
2336 CLEVELAND AVE, FORT MYERS, FL 33901
(239) 288-7457
(239) 288-7458
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60755
FL
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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