Individual
SUSANA PLACENCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15955 SW 96TH ST, MIAMI, FL 33196-1271
(786) 467-3430
Mailing address
1411 W 43RD PL, HIALEAH, FL 33012-7607
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL3725
FL
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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