Individual
MS. MYZA RAE CABOVERDE ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
600 GRANT ST, GARY, IN 46402
(219) 886-4710
Mailing address
8701 BROADWAY, MERRILLVILLE, IN 46410-7035
(219) 738-5510
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
28254136A
IN
Other
Enumeration date
01/08/2025
Last updated
09/03/2025
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