Mizue Miks LMT

NPI 1649430554 - Massage Therapist - 225700000X

NPI Details
NPI 1649430554
Gender Female
Enumeration Date 06/13/2008
Last Updated 06/13/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
4617 RIVER CLOSE BLVD
VALRICO FL, 33596-7388, US
Phone (813) 777-2819
Fax
Business Location
4617 RIVER CLOSE BLVD
VALRICO FL, 33596-7388, US
Phone (813) 777-2819
Fax
Toxanomy
Taxonomy Code 225700000X
License State Florida
License Number MA47627
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According to our database, Mrs. Mizue Miks LMT NPI is 1649430554, taxonomy code is 225700000X and license number is MA47627, license state is located at Florida. Mizue Miks LMT physically located at 4617 River Close Blvd, Valrico FL, 33596-7388. NPI Number Mizue Miks LMT has the Individual type.

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1649430554 NPI number is provided on an as is basis without warranty of any kind. 1649430554 is maintained by the National Plan & Provider Enumeration System. The contents of Mizue Miks LMT are for informational purposes only.