Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
Sep 13, 2018
License(s)
APRN9433095 (FL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 14057 NW 88TH PL | Miami Lakes, FL 33018-7343 | 178-658-0036 |
| MAILING | 167 W 23RD ST | Hialeah, FL 33010-2211 | 305-823-3312 |
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