Individual
IVELISSE DEJONGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
79 SW 12TH ST, APARTMENT 1110, MIAMI, FL 33130-5201
(305) 319-1195
Mailing address
79 SW 12 STREET, APARTMENT 1110, MIAMI, FL 33130
(305) 319-1195
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP2588
FL
Other
Enumeration date
08/26/2008
Last updated
08/20/2009
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