Individual
LIETTY GABRIELA HERRERA PEREIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHA
Contact information
Practice address
2500 NW 79TH AVE STE 206, DORAL, FL 33122-1003
(786) 409-2796
(786) 464-0976
Mailing address
16480 SW 304TH ST APT 104, HOMESTEAD, FL 33033-3276
(305) 803-6298
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
5024638
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
215415788424
AMERICAN HEART ASSOCIATION
FL
Enumeration date
07/21/2022
Last updated
07/21/2022
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