Individual
VANESSA EGUED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 NW 17TH ST STE D, MIAMI, FL 33136-1135
(305) 585-3996
(305) 585-3997
Mailing address
11350 SW 41ST TER, MIAMI, FL 33165-4611
(786) 580-6173
(305) 585-3997
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
RPT11578
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPT11578
FLORIDA BOARD OF PHARMACY
FL
Enumeration date
07/06/2020
Last updated
07/06/2020
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