Individual
NERIS LUNAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1275 W 47TH PL STE 303, HIALEAH, FL 33012-3447
(305) 825-4320
(305) 825-8117
Mailing address
1275 W 47TH PL STE 303, HIALEAH, FL 33012-3447
(305) 825-4320
(305) 825-8117
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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