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1659846160
DOMENIKA ALEJANDRA ORTIZ REQUENA
MIAMI, FL
NPI
1659846160
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: FL ME155129)
Enumeration Date
2018-10-11
Last Update Date
2024-09-26
Business Address
DOMENIKA ALEJANDRA ORTIZ REQUENA MD
1611 NW 12TH AVE
MIAMI, FL 33136-1005
Phone number: 305-585-8381
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Mailing Address
DOMENIKA ALEJANDRA ORTIZ REQUENA MD
1611 NW 12TH AVE
MIAMI, FL 33136-1005
Phone number:
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