Individual
MS. DARITZA BOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2915 SW 102ND PL, MIAMI, FL 33165-2867
(305) 458-0491
Mailing address
2915 SW 102ND PL, MIAMI, FL 33165-2867
(305) 458-0491
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ6168
FL
Other
Enumeration date
06/05/2013
Last updated
06/05/2013
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