Individual
LISAMARY CALDERIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6725 SW 136TH CT, MIAMI, FL 33183-2346
(786) 282-2068
Mailing address
6725 SW 136TH CT, MIAMI, FL 33183-2346
(786) 282-2068
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
IN-436-44-467
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C436-520-96-595-0
ID LICENSE
FL
Enumeration date
02/14/2021
Last updated
02/14/2021
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