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NPI 1023525334 · on the registry since 2018 · sole proprietor
Practice
- Address
- 7333 Nw 174th Ter Apt 101
Hialeah, FL 33015 - Phone
- (786) 715-9439
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-11-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida