Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0100X | Occupational Health | OTA11809 | FL |
NPI | 1922429489 |
---|---|
Provider Name | Llunaisy Acanda |
First Address | Hialeah, FL 33012-7206 |
Second Address | Hialeah, FL 33014-2442 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/12/2013 |
Last Update Date | 30/12/2013 |