Individual
MRS. JOSEPHINE LACHICA PALENCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-8459
Mailing address
19603 NW 82ND PL, HIALEAH, FL 33015-6960
(305) 829-5435
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1433132
FL
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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