Individual
LETICIA RUIZ MATURANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21380 SW 244TH ST, HOMESTEAD, FL 33031-3628
(315) 440-7413
Mailing address
21380SW 244 ST, HOMESTEAD, FL 33031
(315) 440-7413
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
20150624005
FL
Other
Enumeration date
10/05/2015
Last updated
10/05/2015
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