MRS. Andrea Gail Spader, MEDICAL AESTHETICIAN

NPI #1255634895 in N Miami Beach, Florida

Provider Information

NPI Number: 1255634895
Entity Type: Individual
Name: MRS. Andrea Gail Spader, MEDICAL AESTHETICIAN
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: MEDICAL AESTHETICIAN
Enumeration Date: Dec 20, 2010
Last Updated: Mar 22, 2012

Practice Location

Address: 1606 NE MIAMI GARDENS DR
City: N Miami Beach
State: Florida
ZIP Code: 33179-4900
Phone: (305) 354-8266

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary
Technician, Other	247200000X

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