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Individual

ALYSSA STELLANIE HIDALGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
15473 SW 47TH TER, MIAMI, FL 33185-4431
(786) 239-6810
Mailing address
15473 SW 47TH TER, MIAMI, FL 33185-4431

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
11029186
FL

Other

Enumeration date
10/17/2023
Last updated
10/17/2023
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