Individual
WANDA NITISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10300 SW 72ND ST STE 187, MIAMI, FL 33173-3040
(786) 630-8771
Mailing address
10300 SW 72ND ST STE 187, MIAMI, FL 33173-3040
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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