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Individual
JIANEYA MANZANO SUAREZ
Active
Individual
JIANEYA MANZANO SUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
CBHCMS101021
FL
246ZC0007X
Surgical Assistant
17-228
FL
363LF0000X
Family Nurse Practitioner
Primary
F12230035
FL
Other
Enumeration date
04/18/2017
Last updated
09/24/2024
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