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GERARDO DE LA LUZ AGUILERA DIAZ SA-C

Certified First Assistant >> Specialist/Technologist, Other >> Technologists, Technicians & Other Technical Service Providers

Registrant NPI Number: 1447628508

Individual Registrant:
 GERARDO DE LA LUZ AGUILERA DIAZ SA-C
Gender: M
Sole Proprietor

Location and contact information for practice:
2230 N 49TH AVE  HOLLYWOOD, FL 33021-4042 US
Tel: 954-702-3977  Fax: --

Contact information for business:
2230 N 49TH AVE  HOLLYWOOD, FL 33021-4042 US
Tel: 954-702-3977  Fax: --

Registration Information:
NPI: 1447628508
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y246ZC0007XTechnologists, Technicians & Other Technical Service Providers
Specialist/Technologist, Other
Certified First Assistant
CO13-404

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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