Individual
MRS. KELLIE DENIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRT
Contact information
Practice address
9062 SW 34TH CT, MIRAMAR, FL 33025-7972
(786) 712-8118
Mailing address
9062 SW 34TH CT, MIRAMAR, FL 33025-7972
(786) 712-8118
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
TT14478
FL
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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