Individual
YESSICA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
441 NW 12TH AVE, MIAMI, FL 33128-1020
(305) 607-0164
Mailing address
3558 W GLENCOE ST, MIAMI, FL 33133-4023
(305) 607-0164
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH33951
FL
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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