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Individual

YANIRY C CAMACHO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
5780 W 17TH CT, HIALEAH, FL 33012-6862
(305) 821-2100
Mailing address
5780 W 17TH CT, HIALEAH, FL 33012-6862
(305) 821-2100

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5190352
FL

Other

Enumeration date
12/18/2009
Last updated
12/18/2009
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