Individual
MRS. OLENA DEMENTYEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.M.
Contact information
Practice address
960 W 41ST ST, SUITE 116, MIAMI BEACH, FL 33140-3326
(786) 999-4499
Mailing address
1619 PENNSYLVANIA AVE, APT # 2, MIAMI BEACH, FL 33139-7714
(786) 999-4499
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP2493
FL
Other
Enumeration date
11/24/2008
Last updated
11/24/2008
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