Organization
NAMASTE HOLISTIC CENTER, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA MORA-VIERA DOM, MD (COLOMBIA) (DOCTOR OF ORIENTAL MEDICINE)
(954) 200-4587
Entity
Organization
Contact information
Practice address
18503 PINES BLVD, SUITE 309, PEMBROKE PINES, FL 33029-1404
(954) 885-5279
Mailing address
2103 RENAISSANCE BLVD, APT 201, MIRAMAR, FL 33025-5691
(954) 200-4587
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
AP2891
FL
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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