JUSTIN EFRAIN FONTANEZ

TAMPA, FL
NPI1861064628
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: FL  ma76149)
Enumeration Date2021-07-12
Last Update Date2021-07-12
Business Address
JUSTIN EFRAIN FONTANEZ
1512 E 12TH AVE UNIT 172
TAMPA, FL 33605-3548
Phone number: 813-497-0007
Mailing Address
JUSTIN EFRAIN FONTANEZ
1512 E 12TH AVE UNIT 172
TAMPA, FL 33605-3548
Phone number: 813-497-0007