Individual
LOLA BAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17311 NW 33RD CT, MIAMI GARDENS, FL 33056-4218
(305) 623-4618
(305) 623-4618
Mailing address
17311 N.W 3 CT, MIAMI, FL 33056
(305) 623-4618
(305) 623-4618
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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