Individual
MS. VANESSA LISA GASPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
355 NE 159TH ST, MIAMI, FL 33162-5007
(786) 390-4511
Mailing address
355 NE 159TH ST, MIAMI, FL 33162-5007
(786) 390-4511
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CL1263273
FL
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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