Guadalupe Lizeth Polanco, LMT

NPI #1346091931 in Mount Dora, Florida

Provider Information

NPI Number: 1346091931
Entity Type: Individual
Name: Guadalupe Lizeth Polanco, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Apr 1, 2024
Last Updated: Apr 1, 2024

Practice Location

Address: 1416 N DONNELLY ST
City: Mount Dora
State: Florida
ZIP Code: 32757-2814
Phone: (407) 476-7497

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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