MRS. Edrey S Moreno, LMT,MMP
NPI #1750636791 in Port Saint Lucie, Florida
Provider Information
- NPI Number
- 1750636791
- Entity Type
- Individual
- Name
- MRS. Edrey S Moreno, LMT,MMP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- LMT,MMP
- Enumeration Date
- Jul 16, 2012
- Last Updated
- Jul 16, 2012
Practice Location
- Address
- 698 SW PORT ST LUCIE BLVD STE 107
- City
- Port Saint Lucie
- State
- Florida
- ZIP Code
- 34953-1565
- Phone
- (772) 249-4058
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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