Individual
MARLLEBIS DEYANIRA AGUILAR VALERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SA-C
Contact information
Practice address
2257 SW 147TH PATH, MIAMI, FL 33185-4437
(786) 971-8522
Mailing address
2257 SW 147TH PATH, MIAMI, FL 33185-4437
(786) 971-8522
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
16-791
FL
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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