Individual
MISS GLADYS KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHT
Contact information
Practice address
5881 NW 199TH ST, HIALEAH, FL 33015-4331
(305) 623-4970
Mailing address
5881 NW 199TH ST, HIALEAH, FL 33015-4331
(305) 623-4970
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
061809-2938
FL
Other
Enumeration date
08/04/2009
Last updated
08/04/2009
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