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Individual

MAYOMY ANNETTE VILLAFANE

Active
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Individual

MAYOMY ANNETTE VILLAFANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ST

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146005537
IL
235Z00000X
Speech-Language Pathologist
SA4456
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000259200
FL
05
000546300
FL
05
103034
IL
Enumeration date
03/16/2007
Last updated
04/20/2011
About Stedi
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  • Eligibility checks
  • EDI platform