Individual
MRS. ODALYS SANTOS QUEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4343 W FLAGLER ST, SUITE 100, MIAMI, FL 33134
(305) 774-9570
Mailing address
5801 SW 74TH TER APT 5, SOUTH MIAMI, FL 33143-5265
(786) 546-4324
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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