Individual
GRISEL AMAIVE PANTOJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3800 PALM AVE APT 216, HIALEAH, FL 33012-4458
(786) 317-1856
Mailing address
3800 PALM AVE APT 216, HIALEAH, FL 33012-4458
(786) 317-1856
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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