NPI | 1295365526 |
---|---|
Professional Name | JUAN CARLOS FLEITAS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA67136) |
Additional Taxonomies | 225700000X Massage Therapist |
Enumeration Date | 2020-01-26 |
Last Update Date | 2020-01-26 |