Individual
FAUSTINA VIRTUDES ROLDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CBHCM103913
Contact information
Practice address
12150 SW 128TH CT STE 228, MIAMI, FL 33186-4674
(786) 227-6314
Mailing address
14820 GRANT LN, HOMESTEAD, FL 33033-2726
(786) 370-4457
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
103913
FL
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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