Individual
MISS MARIE ELNIDE DESRAVINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
144 NW 45TH ST, MIAMI, FL 33127-2618
(305) 205-6554
Mailing address
144 NW 45TH ST, MIAMI, FL 33127-2618
(305) 205-6554
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 9407834
FL
Other
Enumeration date
04/30/2017
Last updated
04/30/2017
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