Individual
ANNIA IBIS JUNCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 SW 96TH CT, MIAMI, FL 33174-2046
(786) 290-8117
Mailing address
108 SW 96TH CT, MIAMI, FL 33174-2046
(786) 290-8117
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/31/2016
Last updated
09/07/2016
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