Individual
ODALIS SUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
737 E 10TH ST, HIALEAH, FL 33010-3635
(305) 888-7378
Mailing address
570 SE 6TH ST, HIALEAH, FL 33010-5354
(786) 879-6198
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
RMA133904
FL
Other
Enumeration date
11/09/2010
Last updated
11/11/2010
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