Individual
YUDAMAS OLIVARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSING ASSISTANT
Contact information
Practice address
4241 NW 204TH ST, MIAMI GARDENS, FL 33055-1316
(786) 439-6264
Mailing address
4241 NW 204TH ST, MIAMI GARDENS, FL 33055-1316
(786) 439-6264
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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