Individual
TANIA MIREYA LUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SA-C
Contact information
Practice address
2135 NW 27TH ST, MIAMI, FL 33142-8453
(786) 590-9190
Mailing address
2135 NW 27TH ST, MIAMI, FL 33142-8453
(786) 590-9190
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
18-550
FL
Other
Enumeration date
01/12/2019
Last updated
01/12/2019
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