Individual
JULIO C HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
12970 SW 142ND TER, MIAMI, FL 33186-8925
(786) 223-3061
Mailing address
12970 SW 142ND TER, MIAMI, FL 33186-8925
(786) 223-3061
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA25409
FL
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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