Individual
ELSA ESPINOSA PAGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4365 W 12TH LN APT B, HIALEAH, FL 33012-5931
(239) 245-3614
Mailing address
4365 W 12TH LN APT B, HIALEAH, FL 33012-5931
(239) 245-3614
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
461334638
—
FL
Enumeration date
08/21/2019
Last updated
12/02/2019
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