Individual
MARILYN ORIANA GRANADO ASTUDILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SA-C
Contact information
Practice address
3940 SW 48TH AVE, HOLLYWOOD, FL 33023-5546
(786) 961-2436
Mailing address
3940 SW 48TH AVE, HOLLYWOOD, FL 33023-5546
(786) 961-2436
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
22-545
FL
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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