Individual
MATHANIE TANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18020 NW 6TH AVE, MIAMI, FL 33169-4333
(786) 370-6202
Mailing address
18020 NW 6TH AVE, MIAMI, FL 33169-4333
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
—
—
Other
Enumeration date
11/24/2015
Last updated
11/24/2015
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