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Individual

ANNIE SAIKA LUCIEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2341 NW 38TH TER, LAUDERDALE LAKES, FL 33311-2650
(954) 635-8981
Mailing address
2341 NW 38TH TER, LAUDERDALE LAKES, FL 33311-2650
(954) 635-8981

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
3848
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ANNIE20
FL
Enumeration date
07/08/2019
Last updated
07/08/2019
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