Individual
MIMOSE JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
13270 SW 256TH ST, HOMESTEAD, FL 33032-6821
(786) 348-8491
Mailing address
13270 SW 256TH ST, HOMESTEAD, FL 33032-6821
(786) 348-8491
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
CNA40738
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CNA40738
NURSING ASSISTANT CERTIFICATION
FL
Enumeration date
09/08/2022
Last updated
09/08/2022
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