Individual
JOHANNE CORIOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SA-C
Contact information
Practice address
2621 SW 83RD AVE, MIRAMAR, FL 33025-7412
(786) 203-2642
Mailing address
2621 SW 83RD AVE, MIRAMAR, FL 33025-7412
(786) 203-2642
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
19-137
WI
Other
Enumeration date
03/31/2019
Last updated
03/31/2019
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