Individual
MRS. GLORIA CASQUERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
419 W 49TH ST STE 210, HIALEAH, FL 33012-3657
(855) 832-6727
Mailing address
9027 SW 157TH PATH, MIAMI, FL 33196-1196
(305) 606-0441
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021374100
—
FL
Enumeration date
08/13/2017
Last updated
08/13/2017
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