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Individual

MAYDA RODRIGUEZ HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CBHCM

Contact information

Practice address
12245 SW 151ST ST APT H210, MIAMI, FL 33186-5972
(239) 537-8365
Mailing address
12245 SW 151ST ST APT H210, MIAMI, FL 33186-5972

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CBHCM-0104908
FL

Other

Enumeration date
08/25/2022
Last updated
08/25/2022
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