Individual
ESTHER ALTIDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4026 NW 38TH AVE, LAUDERDALE LAKES, FL 33309-4813
(954) 268-9044
Mailing address
16242 SW 28TH CT, MIRAMAR, FL 33027-5211
(954) 682-1173
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
1114201
FL
Other
Enumeration date
10/02/2016
Last updated
10/02/2016
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