Individual
YSDALY VIRGINIA THIELEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3812 SW 8TH ST, CORAL GABLES, FL 33134-3002
(305) 747-9465
(786) 981-5957
Mailing address
3812 SW 8TH ST, CORAL GABLES, FL 33134-3002
(305) 747-9765
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
FL
Other
Enumeration date
04/09/2024
Last updated
05/03/2024
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