Individual
JUAN HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8811 SW 132ND PL, APT 309, MIAMI, FL 33186-1792
(786) 387-0249
Mailing address
13243 NW 4TH TER, MIAMI, FL 33182-1625
(786) 387-0249
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA62921
FL
Other
Enumeration date
02/29/2016
Last updated
02/29/2016
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