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Individual

MRS. ANNALYSE BRIANN PUCCI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11874 SW 151ST AVE, MIAMI, FL 33196-2550
(305) 803-3177
Mailing address
11874 SW 151ST AVE, MIAMI, FL 33196-2550
(305) 803-3177

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
SI1922
FL
235Z00000X
Speech-Language Pathologist
Primary
SA14682
FL

Other

Enumeration date
05/23/2011
Last updated
07/21/2022
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