Individual
LORENA PARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9675 SW 19TH ST, MIAMI, FL 33165-7625
(786) 340-3003
Mailing address
9675 SW 19TH ST, MIAMI, FL 33165-7625
(786) 340-3003
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
P600523865150
FL
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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