Individual
IANELLA MESA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DHA
Contact information
Practice address
14041 SW 55TH ST, MIAMI, FL 33175-5950
(305) 905-4155
Mailing address
14041 SW 55TH ST, MIAMI, FL 33175-5950
(305) 905-4155
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/11/2016
Last updated
07/12/2016
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