MRS. Kristen Monique De La Rua, LMT

NPI #1982241972 in South Miami, Florida

Provider Information

NPI Number: 1982241972
Entity Type: Individual
Name: MRS. Kristen Monique De La Rua, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Dec 9, 2019
Last Updated: Dec 9, 2019

Practice Location

Address: 7600 SW 57TH AVE STE 304
City: South Miami
State: Florida
ZIP Code: 33143-5427
Phone: (305) 663-3370

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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