Individual
IRAIDA BLANCHE-VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3837 SW 99TH AVE, MIAMI, FL 33165-3907
(305) 552-1717
(305) 552-1782
Mailing address
3837 SW 99TH AVE, MIAMI, FL 33165-3907
(305) 552-1717
(305) 552-1782
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP2209322
FL
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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