Individual
DAVIS RICKY RONQUILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
30 SW 1ST ST APT 1905, MIAMI, FL 33130-1685
(480) 742-3133
Mailing address
30 SW 1ST ST APT 1905, MIAMI, FL 33130-1685
(480) 742-3133
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA103013
FL
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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