Alicia Kristina Boateng
Contractor in North Lauderdale, FL. Individual provider (NPI-1).
NPI number1396114591
StatusActive
Last updated in NPPESSep 17, 2015
Details
- NPI
- 1396114591
- Entity type
- Individual (NPI-1)
- Name
- Alicia Kristina Boateng
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 17, 2015
- Last updated
- Sep 17, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | w259870 | FL | Yes |
Practice location
6613 Sw 18th CtNorth Lauderdale, FL 33068-5219
Phone 305-401-7001
Mailing address
6613 Sw 18th CtNorth Lauderdale, FL 33068-5219
Phone 305-401-7001
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