Individual
CALVIN STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4381 SW 10TH PL APT 102, DEERFIELD BEACH, FL 33442-8358
(516) 521-4465
Mailing address
4381 SW 10TH PL APT 102, DEERFIELD BEACH, FL 33442-8358
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA87092
FL
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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