Individual
ROSE COAXUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17021 NW 42ND AVE, MIAMI GARDENS, FL 33055-4407
(305) 527-0318
Mailing address
17021 NW 42ND AVE, MIAMI GARDENS, FL 33055-4407
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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