Ledy Tatiana Constantine

NPI 1740609072 - Physician Assistant - 363A00000X

NPI Details
NPI 1740609072
Gender Female
Enumeration Date 04/15/2014
Last Updated 04/15/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
8305 NW 26TH PL
SUNRISE FL, 33322-2915, US
Phone (954) 907-1424
Fax
Business Location
8305 NW 26TH PL
SUNRISE FL, 33322-2915, US
Phone (954) 907-1424
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Florida
License Number 9107873
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According to our database, Ledy Tatiana Constantine NPI is 1740609072, taxonomy code is 363A00000X and license number is 9107873, license state is located at Florida. Ledy Tatiana Constantine physically located at 8305 Nw 26th Pl, Sunrise FL, 33322-2915. NPI Number Ledy Tatiana Constantine has the Individual type.

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1740609072 NPI number is provided on an as is basis without warranty of any kind. 1740609072 is maintained by the National Plan & Provider Enumeration System. The contents of Ledy Tatiana Constantine are for informational purposes only.