Individual
DORAISY AVILA MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8620 NW 3RD LN, MIAMI, FL 33126-6820
(786) 405-2603
Mailing address
8620 NW 3RD LN, MIAMI, FL 33126-6820
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/23/2016
Last updated
05/23/2016
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