KIM MARA DIERICKX

NORTH MIAMI BEACH, FL
NPI1518424951
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: FL  9111531)
Enumeration Date2019-02-21
Last Update Date2019-02-21
Business Address
KIM MARA DIERICKX PA
100 NW 170TH ST STE 301
NORTH MIAMI BEACH, FL 33169-5511
Phone number: 305-651-3038
Mailing Address
KIM MARA DIERICKX PA
100 NW 170TH ST STE 301
NORTH MIAMI BEACH, FL 33169-5511
Phone number: 305-651-3038