Individual
MIRIAN VICTORERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3169 HYPOLUXO RD, LANTANA, FL 33462-3703
(786) 320-0762
Mailing address
3169 HYPOLUXO RD, LANTANA, FL 33462-3703
(786) 320-0762
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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