Individual
MIREYA ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8830 SW 123RD CT APT 402I, MIAMI, FL 33186-1966
(305) 815-3689
Mailing address
8830 SW 123RD CT APT 402I, MIAMI, FL 33186-1966
(305) 815-3689
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH12553
FL
174H00000X
Health Educator
—
—
Other
Enumeration date
11/27/2015
Last updated
11/27/2015
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