Individual
SUSEL I SARIOL VILTRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5818 PIERCE ST, HOLLYWOOD, FL 33021-6247
(832) 762-1473
Mailing address
5818 PIERCE ST, HOLLYWOOD, FL 33021-6247
(832) 762-1473
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
19-306
WI
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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