Individual
KEILA ALFONSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8073 W 36TH AVE APT 1, HIALEAH, FL 33018-1804
(786) 294-1021
Mailing address
8073 W 36TH AVE APT 1, HIALEAH, FL 33018-1804
(786) 294-1021
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
188407
MD
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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