Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | MA 37035 | FL |
NPI | 1013045871 |
---|---|
Provider Name | Yina Buelvas |
First Address | Orlando, FL 32835-5718 |
Second Address | Orlando, FL 32835-5718 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2007 |
Last Update Date | 08/07/2007 |