Individual
ADA LIANNYS ALFONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
10833 NW 83RD ST UNIT 7, DORAL, FL 33178-1686
(917) 454-8697
Mailing address
7825 NW 107 TH AVE, APT 207, DORAL, FL 33178-1142
(281) 201-7507
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
934269
TX
363LF0000X
Family Nurse Practitioner
Primary
APRN11012300
FL
Other
Enumeration date
03/21/2018
Last updated
06/21/2023
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