Individual
FINOLIA MARIE IDAHOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
312 E VENICE AVE STE 108, VENICE, FL 34285-4670
(917) 385-6081
Mailing address
312 E VENICE AVE STE 108, VENICE, FL 34285-4670
(917) 385-6081
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
492-P.A.
PR
Other
Enumeration date
04/21/2020
Last updated
07/24/2023
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