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Individual

SONMAY OTANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
13233 SW 200TH TER, MIAMI, FL 33177-6150
(786) 445-8964
Mailing address
13233 SW 200TH TER, MIAMI, FL 33177-6150
(786) 445-8964

Taxonomy

Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
11-1210-GH
FL

Other

Enumeration date
12/13/2017
Last updated
12/13/2017
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