Individual
TELMA SAMAYOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 NW 30TH ST, MIAMI, FL 33142-6557
(786) 419-6029
Mailing address
2400 NW 30TH ST, MIAMI, FL 33142-6557
(786) 419-6029
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
RBT1615271
FL
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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