Individual
MR. YOANSY VINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
3620 SW 121ST AVE, MIAMI, FL 33175-3124
(786) 326-5448
(315) 326-0504
Mailing address
3620 SW 121ST AVE, MIAMI, FL 33175-3124
(786) 326-5448
(315) 326-0504
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
MA63123
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA63123
MASSAGE THERAPIST
FL
Enumeration date
05/19/2011
Last updated
05/19/2011
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