Individual
VICTOR A CUELLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1652 SE 28TH ST UNIT 204, HOMESTEAD, FL 33035-2513
(305) 992-8796
Mailing address
1652 SE 28TH ST UNIT 204, HOMESTEAD, FL 33035-2513
(305) 992-8796
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5232804
FL
Other
Enumeration date
04/19/2018
Last updated
04/19/2018
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