Registry details
Type
Individual
Primary specialty
Nurse Practitioner
Enumerated
Sep 22, 2021
License(s)
APRN11012965 (FL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 14338 SW 98TH TER | Miami, FL 33186-8815 | |
| LOCATION | 3252 BUENA VISTA BLVD 112 | Miami, FL 33137 | 786-812-7135 |
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