Individual
MAYELYN GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SA-C
Contact information
Practice address
1352 W 42ND ST, HIALEAH, FL 33012-5940
(305) 984-0180
Mailing address
1352 W 42ND ST, HIALEAH, FL 33012-5940
(305) 984-0180
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
19-301
FL
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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