Individual
ANISLEY MEDEROS UTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15924 SW 92ND AVE, MIAMI, FL 33157-1842
(305) 964-5824
(786) 452-1200
Mailing address
8524 SW 107TH AVE APT C3, MIAMI, FL 33173-4430
(305) 922-9238
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/06/2021
Last updated
08/06/2021
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