Individual
MARISELA INES BENZO GRAMCKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
248 W RIVERBEND DR, SUNRISE, FL 33326-2218
(954) 993-5149
Mailing address
248 W RIVERBEND DR, SUNRISE, FL 33326-2218
(954) 993-5149
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/27/2020
Last updated
03/27/2020
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