Individual
MRS. PAULETTE LAINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED TRAINERS
Contact information
Practice address
3731 SW 43RD AVE, WEST PARK, FL 33023-6234
(954) 934-7987
Mailing address
3731 SW 43RD AVE, WEST PARK, FL 33023-6234
(954) 934-7987
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
T207261
FL
Other
Enumeration date
06/14/2019
Last updated
06/14/2019
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