Individual
ELISA YANEZ PADIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6060 W 21ST CT APT 306, HIALEAH, FL 33016-2688
(954) 681-8927
Mailing address
6060 W 21ST CT APT 306, HIALEAH, FL 33016-2688
(954) 681-8927
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CBHCM.0104810
FL
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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