Individual
NINSIUL ALAIZA SEGOVIA MARQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SA-C
Contact information
Practice address
1438 17TH STREET CIR E, BRADENTON, FL 34208-8308
(305) 399-5513
Mailing address
1438 17TH STREET CIR E, BRADENTON, FL 34208-8308
(305) 399-5513
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
17-623
FL
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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