Individual provider · NPI-1

Beatriz R Hernandez

Massage Therapist · Sunrise, FL

NPI number1841855087
StatusActive
Last updated in NPPESMay 2, 2019

Details

NPI
1841855087
Entity type
Individual (NPI-1)
Name
Mrs. Beatriz R Hernandez
Sex
Female
Sole proprietor
No
Enumeration date
May 2, 2019
Last updated
May 2, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage TherapistMA85153FLYes

Practice location

12651 W Sunrise Blvd Ste 102
Sunrise, FL 33323-0906

Phone 954-888-8355 · Fax 877-220-7623

Mailing address

161 Nw 115th Ter
Plantation, FL 33325-2515

Phone 964-790-4387

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