Individual
ODALYS CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1750 W 39TH PL STE 1001, HIALEAH, FL 33012-7036
(305) 418-0916
Mailing address
1750 W 39TH PL STE 1001, HIALEAH, FL 33012-7036
(305) 418-0916
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN9286766
FL
Other
Enumeration date
05/16/2013
Last updated
05/16/2013
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