Individual
KENIA BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
344 MENDOZA AVE, MIAMI, FL 33134-3854
(315) 278-8574
Mailing address
344 MENDOZA AVE, MIAMI, FL 33134-3854
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/01/2017
Last updated
08/01/2017
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