Individual
MADELEN DIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6500 W 4TH AVE STE 19, HIALEAH, FL 33012-6606
(305) 556-5878
(305) 556-1626
Mailing address
6500 W 4TH AVE STE 19, HIALEAH, FL 33012-6606
(305) 556-5878
(305) 556-1626
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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