Individual
MRS. RENDY ALFONSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4901 NW 47TH AVE, COCONUT CREEK, FL 33073-4941
(954) 646-5027
Mailing address
4901 NW 47TH AVE, COCONUT CREEK, FL 33073-4941
(954) 646-5027
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
235146
FL
Other
Enumeration date
07/05/2018
Last updated
07/05/2018
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