MISS Desirae Madison Gavidia, LMT, MMP

NPI #1083041065 in Stuart, Florida

Provider Information

NPI Number
1083041065
Entity Type
Individual
Name
MISS Desirae Madison Gavidia, LMT, MMP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
LMT, MMP
Enumeration Date
Oct 4, 2013
Last Updated
Oct 4, 2013

Practice Location

Address
555 COLORADO AVE
Address 2
SUITE 111
City
Stuart
State
Florida
ZIP Code
34994-3025
Phone
(772) 497-6126

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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