Individual
MARIELA RODRIGUEZ VASALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7221 SW 24TH ST STE 210, MIAMI, FL 33155-1436
(786) 501-9583
Mailing address
7221 SW 24TH ST STE 210, MIAMI, FL 33155-1436
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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