Individual
JOANKA DIAZ DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12892 SW 12TH TER, MIAMI, FL 33184-2245
(786) 307-3759
Mailing address
2485 BAYSIDE ST, NAPLES, FL 34112-4830
(239) 692-3074
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/31/2016
Last updated
01/31/2016
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