Individual
ALYSSA FUNDORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15201 SW 11TH ST, MIAMI, FL 33194-2684
(305) 367-1431
Mailing address
15201 SW 11TH ST, MIAMI, FL 33194-2684
(305) 367-1431
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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