Individual
YUSIMID GONZALEZ MELCHOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10300 SW 72ND ST STE 261C, MIAMI, FL 33173-3014
(786) 367-8559
Mailing address
10300 SW 72ND ST STE 261C, MIAMI, FL 33173-3014
(786) 367-8559
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
710522
NY
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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