Individual
MS. AMY SUE RAINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2321 ADAMS ST #18, HOLLYWOOD, FL 33020
(954) 374-8727
Mailing address
2321 ADAMS ST #18, HOLLYWOOD, FL 33020
(954) 374-8727
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
—
—
Other
Enumeration date
12/03/2007
Last updated
12/03/2007
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