Individual
JIHANE ETIENNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 S FEDERAL HWY, FORT LAUDERDALE, FL 33316-2619
(954) 728-1098
Mailing address
20045 NE 3RD CT, APT. 4, MIAMI, FL 33179-2955
(617) 230-3199
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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