Individual
MRS. KRISTEN MONIQUE DE LA RUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7600 SW 57TH AVE STE 304, SOUTH MIAMI, FL 33143-5427
(305) 663-3370
Mailing address
570 NE 64TH ST APT 6, MIAMI, FL 33138-6149
(305) 975-1201
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA41588
FL
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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