Individual
MISS ALIYAH ELENA BASIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9415 SW 72ND ST STE 131, MIAMI, FL 33173-5492
(305) 662-6448
Mailing address
13987 SW 155TH ST, MIAMI, FL 33177-0938
(786) 473-3710
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
12/02/2020
Last updated
12/10/2020
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