Individual
MRS. ISIS BOLANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
770 CURTISS DR, OPA LOCKA, FL 33054-3014
(786) 975-4784
Mailing address
770 CURTISS DR, OPA LOCKA, FL 33054-3014
(786) 975-4784
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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