Individual
KENIA ELIZABETH CHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6841 SW 147TH AVE APT 3G, MIAMI, FL 33193-1012
(786) 747-8002
Mailing address
6841 SW 147TH AVE APT 3G, MIAMI, FL 33193-1012
(786) 747-8002
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
103690700
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103690700
—
FL
Enumeration date
04/23/2019
Last updated
07/10/2020
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