Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | DH26881 | FL |
NPI | 1003454919 |
---|---|
Provider Name | Yuliet Alfonso Zaldivar |
First Address | Miami, FL 33126-2888 |
Second Address | Miami, FL 33137-3840 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2019 |
Last Update Date | 11/12/2019 |