Individual
WANDA CASSIMIRO NASCIMENTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7020 NOVA DR APT 201D, DAVIE, FL 33317-7153
(954) 865-7706
Mailing address
7020 NOVA DR APT 201D, DAVIE, FL 33317-7153
(954) 865-7706
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
12/12/2017
Last updated
12/12/2017
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