Individual
YAIMA VILLALBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12839 SW 17TH TER, MIAMI, FL 33175-1224
(786) 702-4483
(786) 773-2727
Mailing address
12839 SW 17TH TER, MIAMI, FL 33175-1224
(786) 702-4483
(786) 773-2727
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
844506796
EMPLOYER INDENTIFICATION NUMBER
FL
Enumeration date
01/30/2020
Last updated
01/30/2020
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