NPI 1003689258

Tina-Marie a Liburd, NAILTECHNICIAN

Practitioner Technician Boca Raton, FL

Practice location

Address: 23138 Rainbow Rd, Boca Raton, FL 33428-5620
Phone: (954) 696-4418
Mailing address: PO Box 8155, Coral Springs, FL 33075-8155

Registered specialties

Technician Primary

Nursing Service Related Providers Taxonomy 374700000X Licence FV9640664 (FL)

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Registry record

NPI: 1003689258
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Oct 2023
Record last updated: 1 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.