Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | MA84667 | FL |
NPI | 1003330457 |
---|---|
Provider Name | Mrs. Maria Jovita Arroyo |
First Address | Kissimmee, FL 34744-5419 |
Second Address | Saint Cloud, FL 34769-6741 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2017 |
Last Update Date | 27/07/2017 |