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Individual

MRS. SONIA RAQUEL BARRIENTOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6989 COLLINS AVE, MIAMI BEACH, FL 33141-3205
(305) 861-0018
(305) 861-0017
Mailing address
6989 COLLINS AVE, MIAMI BEACH, FL 33141-3205
(305) 861-0018
(305) 861-0017

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO5686
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
630386200
FL
Enumeration date
08/08/2007
Last updated
08/08/2007
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