Wanda Cassimiro Nascimento
Technician, Other in Davie, FL. Individual provider (NPI-1).
NPI number1174038285
StatusActive
Last updated in NPPESDec 12, 2017
Details
- NPI
- 1174038285
- Entity type
- Individual (NPI-1)
- Name
- Wanda Cassimiro Nascimento
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 12, 2017
- Last updated
- Dec 12, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
7020 Nova Dr Apt 201dDavie, FL 33317-7153
Phone 954-865-7706
Mailing address
7020 Nova Dr Apt 201dDavie, FL 33317-7153
Phone 954-865-7706
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