Individual
JAMIYAH GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 SE 19TH AVE, POMPANO BEACH, FL 33060-7543
(954) 774-0469
Mailing address
911 E ATLANTIC BLVD STE 107, POMPANO BEACH, FL 33060-7372
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/19/2017
Last updated
07/19/2017
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