Individual
MARCELA NICOLE LASTRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8631 SW 137TH AVE, MIAMI, FL 33183-4076
(305) 282-0624
Mailing address
8631 SW 137TH AVE, MIAMI, FL 33183-4076
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI2204
FL
Other
Enumeration date
08/07/2013
Last updated
08/07/2013
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