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Individual

CHANDELLE VIDAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10540 NW 26TH ST STE G108, DORAL, FL 33172-2162
(786) 234-9056
Mailing address
4416 SW 163RD PSGE, MIAMI, FL 33185-4577
(954) 531-5615

Taxonomy

Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
ME

Other

Enumeration date
05/10/2022
Last updated
05/02/2024
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