Individual
JULIAN DE JESUS MAZUERA PELAEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2615 SW 22ND AV, APT 10, MIAMI, FL 33133
(786) 583-5199
Mailing address
2615 SW 22ND AV, APT 10, MIAMI, FL 33133
(786) 583-5199
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
19-403
WI
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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