Individual
LISSETTE HUETE VIERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12622 NW 11TH TER, MIAMI, FL 33182-2451
(786) 782-9742
Mailing address
12622 NW 11TH TER, MIAMI, FL 33182-2451
(786) 782-9742
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
22164
FL
Other
Enumeration date
07/10/2022
Last updated
07/10/2022
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