Individual
MARIYA TEREGULOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7700 W SUNRISE BLVD, PLANTATION, FL 33322-4113
(720) 462-5373
Mailing address
102 WIMBLEDON LAKE DR, PLANTATION, FL 33324-2438
(214) 550-6644
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9259260
FL
Other
Enumeration date
01/05/2017
Last updated
03/29/2021
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