Individual
LAZARA IBELICE PEREZ CARDONELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
231 SW 54TH AVE, CORAL GABLES, FL 33134-1143
(786) 678-5436
Mailing address
231 SW 54TH AVE, CORAL GABLES, FL 33134-1143
(786) 678-5436
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/18/2019
Last updated
01/22/2019
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