Organization
LUXURY ESTHETICIANS & SPA CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAMILADY GARCIA VIERA APRN (CEO)
(786) 657-0044
Entity
Organization
Contact information
Practice address
6175 NW 167TH ST STE G22, HIALEAH, FL 33015-4363
(786) 657-0044
Mailing address
6175 NW 167TH ST STE G22, HIALEAH, FL 33015-4363
(786) 657-0044
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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