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Individual

MISS ALECIA MANDELA MALLETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
835NW168TER, MIAMI, FL 33169-3316
(786) 356-5453
(786) 356-5453
Mailing address
835NW168TER, MIAMI, FL 33169
(786) 356-5453

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
FL
374U00000X
Home Health Aide
Primary

Other

Enumeration date
11/13/2017
Last updated
07/21/2022
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