Individual
MS. MARITZA WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8494 SW 8TH ST, MIAMI, FL 33144-4153
(305) 266-7710
(305) 266-7772
Mailing address
1607 SW 136TH PL, MIAMI, FL 33175-1052
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA46438
FL
Other
Enumeration date
08/03/2009
Last updated
08/03/2009
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