Individual
LISETTE MEDEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
800 SW 129TH PL, APT 209, MIAMI, FL 33184-2100
(786) 473-6551
Mailing address
800 SW 129TH PL, APT 209, MIAMI, FL 33184-2100
(786) 473-6551
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/23/2015
Last updated
01/13/2016
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