Individual
MS. MIRIAM BARBOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
911 LADY ST, SUITE H, COLUMBIA, SC 29201-3105
(803) 758-5962
Mailing address
911 LADY ST, SUITE H, COLUMBIA, SC 29201-3105
(803) 758-5962
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000
NA
SC
Enumeration date
02/21/2011
Last updated
02/21/2011
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