Individual
NAMIBIA MORENO CABRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 S DIXIE DR, HAINES CITY, FL 33844-2844
(863) 216-6595
Mailing address
12241 SW 24TH TER, MIAMI, FL 33175-7309
(786) 872-1605
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9360280
FL
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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