Individual
MIRTHA SANTA LAMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHA
Contact information
Practice address
12460 SW 8TH ST STE 207, MIAMI, FL 33184-1437
(305) 206-4439
Mailing address
2162 W 60TH ST APT 14105, HIALEAH, FL 33016-2620
(305) 206-4439
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
3814
FL
374U00000X
Home Health Aide
784555
FL
Other
Enumeration date
08/27/2021
Last updated
09/02/2021
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