Individual
LILLIANE CHANEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
18703 NW 10TH RD, MIAMI, FL 33169-3709
(786) 356-6674
Mailing address
18703 NW 10TH RD, MIAMI, FL 33169-3709
(786) 356-6674
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
11001955
FL
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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