Individual
HANNA FAZYLOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
18831 NE 25TH AVE, AVENTURA, FL 33180-3237
(347) 420-2278
Mailing address
19390 COLLINS AVE APT 1103, SUNNY ISLES BEACH, FL 33160-2233
(347) 420-2278
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/08/2014
Last updated
11/26/2018
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