Individual
YOANDRY FERNANDEZ CORRALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
12660 SW 34TH ST, MIAMI, FL 33175-2906
(786) 217-5810
Mailing address
12660 SW 34TH ST, MIAMI, FL 33175-2906
(786) 217-5810
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
18-554
WI
Other
Enumeration date
01/26/2019
Last updated
01/26/2019
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