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Pamela Daniela Brunner

Massage Therapist in Miami, FL. Individual provider (NPI-1).

NPI number1346854965
StatusActive
Last updated in NPPESSep 1, 2020

Details

NPI
1346854965
Entity type
Individual (NPI-1)
Name
Pamela Daniela Brunner
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 1, 2020
Certification date
Sep 1, 2020
Last updated
Sep 1, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage TherapistMA79426FLYes

Practice location

11 Nw 122nd Ave
Miami, FL 33182-1202

Phone 954-701-9827

Mailing address

11 Nw 122nd Ave
Miami, FL 33182-1202

Phone 954-701-9827

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