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Individual

MARINA V BACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3625 N COUNTRY CLUB DR APT 1501, AVENTURA, FL 33180-1760
(954) 864-2414
Mailing address
3625 N COUNTRY CLUB DR APT 1501, AVENTURA, FL 33180-1760
(954) 864-2414

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
222Q00000X
FL
Enumeration date
02/15/2017
Last updated
03/02/2017
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