Individual
MARIE IVETA JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 NW 183RD ST STE 203, MIAMI GARDENS, FL 33169-4578
(786) 809-4101
Mailing address
111 NW 183RD ST STE 203, MIAMI GARDENS, FL 33169-4578
(786) 809-4101
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11034692
FL
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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