Individual
MARIA LORENA DAVALOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
16135 SW 106TH TER, MIAMI, FL 33196-4576
(786) 234-4394
Mailing address
16135 SW 106TH TER, MIAMI, FL 33196-4576
(786) 234-4394
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
11015392
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
11015392
FL
Other
Enumeration date
09/14/2021
Last updated
01/13/2022
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