Individual
NICOLE MOLANDER-BARRAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12020 SW 119TH PL, MIAMI, FL 33186-5122
(305) 978-6829
Mailing address
12020 SW 119TH PL, MIAMI, FL 33186-5122
(305) 978-6829
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002712A
IN
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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