EDGAR HERNAN PERILLA

HOLLYWOOD, FL
NPI1578877106
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: FL  MA44539)
Enumeration Date2010-08-06
Last Update Date2010-08-06
Business Address
Mr. EDGAR HERNAN PERILLA LMT
5081 SHERIDAN ST
HOLLYWOOD, FL 33021-2831
Phone number: 954-966-1771
Mailing Address
Mr. EDGAR HERNAN PERILLA LMT
5160 SW 40TH AVE APT 5D
FT LAUDERDALE, FL 33314-5751
Phone number: 954-303-1526