Ilianova Chivas mengana

Massage therapist

Temple Terrace, United States

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Full name

ILIANOVA CHIVAS MENGANA

Job Title

Massage Therapist

Location

Temple Terrace, FL, USA

LIC ID

84224

Current License Expiration Date

31/08/2025

Original Date

11/05/2015

Professional Rank Code

Effective Date

11/05/2015

Board Action Indicator

License Status Description

CLEAR

License Active Status Description

ACTIVE

Country Description

HILLSBOROUGH

Practice Location Address Line 1

9811 N 52nd St.

Practice Location Address City

TEMPLE TERRACE

Practice Location Address State

Practice Location Address Zipcode

33617

Prescribing Indicator

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