Provider Information for 1750105987
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PATRICIA ARTIEDA
Sex: Female
NPI: 1750105987
Last Updated: 2024-11-15
Certification Date: 2024-11-15
Certification Date: 2024-11-15
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1750105987 | ||||||||||||||||
| Enumeration Date | 2024-11-13 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 5490 SW 85TH ST SOUTH MIAMI, FL 33143-8330 United States Phone: 650-335-8957 | Fax: | ||||||||||||||||
| Primary Practice Address | 5490 SW 85TH ST SOUTH MIAMI, FL 33143-8330 United States Phone: 650-335-8957 | Fax: | ||||||||||||||||
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