Individual
MERCEDES LUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2017 W 62ND ST, HIALEAH, FL 33016-2678
(305) 512-0941
Mailing address
5373 W 11TH AVE, HIALEAH, FL 33012-2446
(305) 263-0114
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
RPT42
FL
Other
Enumeration date
03/21/2011
Last updated
03/21/2011
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