Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | MA53801 | FL |
NPI | 1013242304 |
---|---|
Provider Name | Natalia Masuero |
First Address | Miami, FL 33144-2031 |
Second Address | Miami, FL 33144-2031 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2009 |
Last Update Date | 05/10/2009 |