Individual
ANDREA VASSALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19273 NW 55TH CT, MIAMI GARDENS, FL 33055-1642
(786) 859-0774
Mailing address
19273 NW 55TH CT, MIAMI GARDENS, FL 33055-1642
(786) 859-0774
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ11604
FL
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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