Individual
MARY JANE DYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3616 NW 188TH ST, MIAMI GARDENS, FL 33056-2901
(305) 336-2246
Mailing address
3616 NW 188TH ST, MIAMI GARDENS, FL 33056-2901
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/28/2019
Last updated
01/28/2019
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