NPI 1992336192

Antakeisha Lavonte Hepburn, MASTERWIGARTIST

Practitioner Prosthetist Miami, FL

Practice location

Address: 2326 NW 51st St, Miami, FL 33142-3677
Phone: (786) 291-7808

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Registry record

NPI: 1992336192
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jan 2020
Record last updated: 28 Jan 2020

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.