Individual
JAIME IZQUIERDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1005 SHORE LN, MIAMI BEACH, FL 33141-2445
(305) 788-3093
(305) 788-3093
Mailing address
1005 SHORE LN, MIAMI BEACH, FL 33141-2445
(305) 788-3093
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA73616
FL
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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