Individual
YOANSY IZQUIERDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CBHCM
Contact information
Practice address
18501 NW 56TH AVE, MIAMI GARDENS, FL 33055-5328
(305) 970-4170
Mailing address
18501 NW 56TH AVE, MIAMI GARDENS, FL 33055-5328
(305) 970-4170
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0100271
FL
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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