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Individual

MISS GLADYS BLANCA TRASORRAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
22841 SW 88TH PL, 101, CUTLER BAY, FL 33190-2055
(305) 632-9191
Mailing address
22841 SW 88TH PL, 101, CUTLER BAY, FL 33190-2055
(305) 632-9191

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
23-8016546611-7
FL

Other

Enumeration date
01/19/2015
Last updated
01/19/2015
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