Individual
ANGELA VASCONCELOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
14943 SW 88TH TER, MIAMI, FL 33196-1429
(786) 273-8423
Mailing address
14943 SW 88TH TER, MIAMI, FL 33196-1429
(786) 273-8423
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
698775453
FL
376K00000X
Nurse's Aide
Primary
223064
FL
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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