Individual
LAZARA VICENTA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9356 SW 40TH ST, MIAMI, FL 33165-4160
(786) 426-5056
Mailing address
11250 SW 179TH ST, MIAMI, FL 33157-4946
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
FL
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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