Individual
ANAIS BALLATE MENESES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4111 SW 135TH AVE, MIAMI, FL 33175-3211
(786) 344-6275
Mailing address
4111 SW 135TH AVE, MIAMI, FL 33175-3211
(786) 344-6275
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5151763
FL
Other
Enumeration date
07/11/2008
Last updated
07/11/2008
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