Individual
YENISEL AMAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-1111
Mailing address
4075 NW 161ST ST, OPA LOCKA, FL 33054-6285
(786) 520-1526
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
19-515
WI
Other
Enumeration date
12/20/2019
Last updated
12/20/2019
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