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Individual

MS. AURA E CIFUENTES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
15339 NW 7TH ST, PEMBROKE PINES, FL 33028-1841
(954) 839-4299
Mailing address
15339 NW 7TH ST, PEMBROKE PINES, FL 33028-1841
(954) 839-4299

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
OTA10393
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OTA 10393
OTA LIC
FL
Enumeration date
07/31/2009
Last updated
07/31/2009
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