KATIANA DERA BLAISE

MIAMI, FL
NPI1356922454
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  11012224)
Enumeration Date2021-04-20
Last Update Date2022-11-10
Business Address
KATIANA DERA BLAISE APRN
1475 NW 12TH AVE
MIAMI, FL 33136-1002
Phone number: 305-243-1885
Mailing Address
KATIANA DERA BLAISE APRN
1475 NW 12TH AVE
MIAMI, FL 33136-1002
Phone number: 305-243-1885