| NPI | 1669758710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO LORENZO DOMINGUEZ Licensed Massage Therapist 786-294-0552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL 62152) |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2011-11-04 |