Individual
MRS. ELISAMA OLIVEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6375 NW 107TH TER, PARKLAND, FL 33076-3745
(786) 237-7845
Mailing address
6375 NW 107TH TER, PARKLAND, FL 33076-3745
(786) 237-7845
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
FL
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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