WILDER XAVIER QUEZADA

MIAMI, FL
NPI1780292813
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL  Q230899981270)
Enumeration Date2020-07-15
Last Update Date2020-07-15
Business Address
WILDER XAVIER QUEZADA
1412 NW 31ST AVE
MIAMI, FL 33125-1939
Phone number: 786-548-6698
Mailing Address
WILDER XAVIER QUEZADA
1412 NW 31ST AVE
MIAMI, FL 33125-1939
Phone number: 786-548-6698
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