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Individual

EDNA LISBETH MORATAYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2207 SW 62ND TER, MIRAMAR, FL 33023-2864
(469) 345-2781
Mailing address
2207 SW 62ND TER, MIRAMAR, FL 33023-2864

Taxonomy

Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
21-440
FL

Other

Enumeration date
07/28/2021
Last updated
07/28/2021
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