Individual
DEBORAH NIETO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11503 NW 89TH ST APT 211, DORAL, FL 33178-2157
(305) 496-7235
Mailing address
11503 NW 89TH ST APT 211, DORAL, FL 33178-2157
(305) 496-7235
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/19/2018
Last updated
03/19/2018
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