Individual
MAYRA RALDIRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24163 SW 112TH PL, HOMESTEAD, FL 33032-3143
(914) 374-4282
Mailing address
24163 SW 112TH PL, HOMESTEAD, FL 33032-3143
(914) 374-4282
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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