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Individual

LAZARA SUAREZ MOYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3840 5TH AVE N, SAINT PETERSBURG, FL 33713-7521
(727) 367-2273
Mailing address
4829 ALVARADO DR, TAMPA, FL 33634-6239
(201) 508-7260

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
05/31/2016
Last updated
05/31/2016
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