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Individual

DIEGO VILA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6955 NW 77 AVE # 401, MIAMI, FL 33166
(305) 805-8388
Mailing address
6955 NW 77 AVE # 401, MIAMI, FL 33166
(305) 805-8388
(305) 805-8027

Taxonomy

Speciality
Code
Description
License number
State
102X00000X
Poetry Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1
PRIVATE
FL
Enumeration date
10/20/2010
Last updated
10/20/2010
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