Individual
LESYANI ANAISA REVOLTA CARRERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17870 SW 107TH AVE APT 21, MIAMI, FL 33157-5144
(786) 381-8237
Mailing address
17870 SW 107TH AVE APT 21, MIAMI, FL 33157-5144
(786) 381-8237
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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