Individual
MOSAIDE DREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15420 SW 136TH ST, MIAMI, FL 33196-2669
(786) 520-5113
Mailing address
15420 SW 136TH ST UNIT 54, MIAMI, FL 33196-2675
(786) 520-5113
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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