Individual
GRETA MOC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8050 NW 103RD ST, HIALEAH GARDENS, FL 33016-2252
(786) 350-2313
(305) 520-0318
Mailing address
8050 NW 103RD ST, HIALEAH GARDENS, FL 33016-2252
(786) 350-2313
(305) 520-0318
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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