Individual
PATRICIA DESIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16490 NE 3RD AVE, NORTH MIAMI BEACH, FL 33162-3564
(305) 776-4066
Mailing address
16490 NE 3RD AVE, NORTH MIAMI BEACH, FL 33162-3564
(305) 776-4066
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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