Individual
JESSENIA BRAVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
815 NW 57TH AVE STE 480, MIAMI, FL 33126-2592
(305) 520-9337
Mailing address
2630 DUNWOODIE PL, HOMESTEAD, FL 33035-1209
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT4850
FL
Other
Enumeration date
03/12/2024
Last updated
03/12/2024
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