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Individual

JAIME VILLANUEVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 243-6144
Mailing address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 243-6144

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9176605
FL

Other

Enumeration date
06/16/2008
Last updated
01/19/2012
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