Individual
JUSSETHY D CORTINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4175 W 20TH AVE, HIALEAH, FL 33012-5874
(305) 424-3030
Mailing address
4175 W 20TH AVE, HIALEAH, FL 33012-5874
(305) 424-3030
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY10547
FL
Other
Enumeration date
09/13/2013
Last updated
09/17/2019
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