Individual
LAUREN VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8215 SW 81ST PL, MIAMI, FL 33143-6677
(305) 492-2427
Mailing address
8215 SW 81ST PL, MIAMI, FL 33143-6677
(305) 492-2427
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
V451-523-95-555-0
FL
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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