Individual
DANNY HEREDIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 AVE LAUREL, BAYAMON, PR 00956-4816
(787) 269-0988
Mailing address
100 AVE LAUREL, BAYAMON, PR 00956-4816
(787) 269-0988
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
906
PR
Other
Enumeration date
01/09/2019
Last updated
08/11/2020
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