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Lesyani Anaisa Revolta Carrero

Home Health Aide in Miami, FL. Individual provider (NPI-1).

NPI number1619705100
StatusActive
Last updated in NPPESJul 25, 2024

Details

NPI
1619705100
Entity type
Individual (NPI-1)
Name
Lesyani Anaisa Revolta Carrero
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 25, 2024
Certification date
Jul 25, 2024
Last updated
Jul 25, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide––Yes

Practice location

17870 Sw 107th Ave Apt 21
Miami, FL 33157-5144

Phone 786-381-8237

Mailing address

17870 Sw 107th Ave Apt 21
Miami, FL 33157-5144

Phone 786-381-8237

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