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MARIAM ABOULELA
>> Organized Health Care Education/Training Program >> StudentRegistrant NPI Number: 1013546670
Individual Registrant: MARIAM ABOULELA
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
700 6TH ST S ST PETERSBURG, FL 33701-4815 US
Tel: 727-893-6198 Fax: 727-893-6978
Tel: 727-893-6198 Fax: 727-893-6978
Contact information for business:
700 6TH ST S ST PETERSBURG, FL 33701-4815 US
Tel: 727-893-6198 Fax: 727-893-6978
Tel: 727-893-6198 Fax: 727-893-6978
Registration Information:
NPI: 1013546670
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 390200000X | Student Organized Health Care Education/Training Program |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
