Individual
BADHULI SAMAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 215-0842
Mailing address
1250 S MIAMI AVE APT 2905, MIAMI, FL 33130-4118
(305) 215-0842
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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