Individual
IVELYS GUTIERREZ LUQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13834 KENDALE LAKES DR, MIAMI, FL 33183-2110
(786) 273-2283
Mailing address
13834 KENDALE LAKES DR, MIAMI, FL 33183-2110
(786) 273-2283
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9539784
FL
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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