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Individual

MS. JOHANDRA M CONSUEGRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
732 E 31ST ST, HIALEAH, FL 33013-3339
(786) 804-7736
Mailing address
732 E 31ST ST, HIALEAH, FL 33013-3339
(786) 804-7736

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11036290
FL

Other

Enumeration date
11/05/2024
Last updated
11/05/2024
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