ELAINE WEST HAJISAFARI

MIAMI, FL
NPI1093005233
Former NameLOURDES ELAINE WEST
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: FL  PA 9105870)
Enumeration Date2011-04-08
Last Update Date2014-03-21
Business Address
-- ELAINE WEST HAJISAFARI
1475 NW 12TH AVE
MIAMI, FL 33136-1002
Phone number: 305-243-8644
Mailing Address
-- ELAINE WEST HAJISAFARI
1611 NW 12TH AVE PO BOX 016960 (M851)
MIAMI, FL 33136-1005
Phone number: 305-243-7688