Individual
MRS. MARIA SOCORRO CASIMIRO JANDAYAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
19233 NW 13TH ST, PEMBROKE PINES, FL 33029-4510
(954) 651-5773
(954) 538-1973
Mailing address
19233 NW 13TH ST, PEMBROKE PINES, FL 33029-4510
(954) 651-5773
(954) 538-1973
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT11478
FL
Other
Enumeration date
06/01/2006
Last updated
07/08/2007
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