Individual
MRS. DANIELA PENA FONSECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12470 NW 15TH PL APT 11308, SUNRISE, FL 33323-5253
(754) 308-0884
Mailing address
12470 NW 15TH PL APT 11308, SUNRISE, FL 33323-5253
(754) 308-0884
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
24-135
WI
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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