Individual
KAYLENE RAQUEL MUNOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17621 SW 115 AVE, MIAMI, FL 33157
(305) 303-0839
Mailing address
103 E LUCY ST, #135, HOMESTEAD, FL 33034-2501
(305) 245-5502
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
MA46249
FL
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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