Individual
KEITTYA PIEDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CM
Contact information
Practice address
3870 NW 213TH ST, MIAMI GARDENS, FL 33055-1106
(786) 674-4735
Mailing address
3870 NW 213TH ST, MIAMI GARDENS, FL 33055-1106
(786) 674-4735
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CBHCM.0105261
FL
Other
Enumeration date
04/11/2024
Last updated
04/11/2024
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