Most Relevant Information
Provider Data
| NPI Number: | 1003553348 |
| Provider Name: | THALISSA TELLERIA METZELER |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/18/2022 |
| Last Updated: | 05/23/2022 |
Provider Practice Location
50 MENORES AVE APT 831
CORAL GABLES
FL
331344085
Practice Location Phone/Fax
| Phone: | 3525389889 |
| Fax: |
Provider Mailing Location
50 MENORES AVE APT 831
CORAL GABLES
FL
331344085
Provider Mailing Phone/Fax
| Phone: | 3525389889 |
| Fax: |