Individual
MIRTHA FERNANDEZ FONSECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10451 SW 14TH TER, MIAMI, FL 33174-3830
(786) 477-9671
Mailing address
10451 SW 14TH TER, MIAMI, FL 33174-3830
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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