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Individual

LETICIA PEREZ HERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
21321 SW 128TH CT, MIAMI, FL 33177-7421
(786) 355-6781
Mailing address
21321 SW 128TH CT, MIAMI, FL 33177-7421
(786) 355-6781

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
9340002
FL
363LG0600X
Gerontology Nurse Practitioner
9340002
FL

Other

Enumeration date
09/08/2016
Last updated
09/08/2016
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