Individual
MARIANA PAVLOVA KAMBUROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, DOM, LIC. AC
Contact information
Practice address
1209 NW 12TH AVE, GAINESVILLE, FL 32601-4113
(352) 378-8002
(352) 378-8002
Mailing address
1209 NW 12TH AVE, GAINESVILLE, FL 32601-4113
(352) 378-8002
(352) 378-8002
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP2980
FL
225700000X
Massage Therapist
MA47164
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568757854
NPPES
FL
Enumeration date
11/15/2007
Last updated
02/25/2020
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