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Individual

MARILIS DIAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
161 NW 29TH ST, MIAMI, FL 33127-3929
(305) 571-5121
Mailing address
1271 SW 124TH CT APT C, MIAMI, FL 33184-2352
(305) 551-8806

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
140103545342669
FL

Other

Enumeration date
01/05/2007
Last updated
07/08/2007
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