Individual
MYRIAME THERESIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3579 SW 69TH WAY, MIRAMAR, FL 33023-6029
(786) 200-4476
Mailing address
3579 SW 69TH WAY, MIRAMAR, FL 33023-6029
(786) 200-4476
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5155865
FL
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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