Individual
ANGELYS JACKELINE CENTENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
18921 SW 30TH ST, MIRAMAR, FL 33029-5829
(305) 494-7433
Mailing address
18921 SW 30TH ST, MIRAMAR, FL 33029-5829
(305) 494-7433
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
9571083
FL
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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