Individual
IVET MARIA ARENAS CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14921 SW 82ND LN APT 107, MIAMI, FL 33193-3113
(786) 817-9622
Mailing address
14921 SW 82ND LN APT 107, MIAMI, FL 33193-3113
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A652413697420
—
FL
Enumeration date
09/02/2021
Last updated
09/02/2021
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