Individual
MRS. SHAMA BENASRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6270 NW 18TH PL, SUNRISE, FL 33313-4619
(954) 648-9363
Mailing address
6270 NW 18TH PL, SUNRISE, FL 33313-4619
(954) 648-9363
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/30/2016
Last updated
06/30/2016
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