MIR LAND EUGENE, MA, MS

Counselor

Active Individual
NPI: 1417991555

Practice Address

4469 NW 167TH ST
Opa Locka, FL 33055

Phone: (305) 621-1455

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes -

Frequently Asked Questions

NPI 1417991555 is the National Provider Identifier for MIR LAND EUGENE, MA, MS, a Counselor provider located in Opa Locka, FL. This NPI was enumerated on June 16, 2006.
MIR LAND EUGENE, MA, MS practices at 4469 NW 167TH ST, Opa Locka, FL 33055.

Quick Facts

NPI
1417991555
Type
Individual
Enumerated
Jun 16, 2006
Last Updated
Mar 25, 2024

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