Individual
VIRGINIA MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14123 SW 154TH PL, MIAMI, FL 33196-6049
(305) 965-5548
Mailing address
14123 SW 154TH PL, MIAMI, FL 33196-6049
(305) 965-5548
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/07/2021
Last updated
05/07/2021
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