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Jackeline A De La Grana
Other Specialist/Technologist in Hialeah, Florida
NPI 1235397258

Jackeline A De La Grana is a Other Specialist/Technologist based in Miami, FL. Jackeline A De La Grana practices in Hialeah, FL. The NPI Number for Jackeline A De La Grana is 1235397258 and holds a License No. MA50607 (Florida).

The current practice location address for Jackeline A De La Grana is 1490 W 49Th Pl, Hialeah, FL and can be reached out via phone at 305-823-4008. You can also correspond with Jackeline A De La Grana through the mailing address at 4444 SW 136TH PL, MIAMI, FL - 33175-3721 (mailing address contact number: ).

Location: 1490 W 49Th Pl, Hialeah, FL, 33175-3721
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235397258
Provider Name
Jackeline A De La Grana
Credential
Provider Entity Type
Individual
Gender
Female
Address
1490 W 49Th Pl, Hialeah, FL, 33175-3721
Phone Number
305-823-4008
Fax Number
Provider Enumeration Date
05/27/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1490 W 49Th Pl
City
Hialeah
State
Florida
Zip
33012-3148
Phone Number
305-823-4008
Fax Number
person
Provider Business Mailing Address Details
Address
4444 Sw 136Th Pl
City
Miami
State
Florida
Zip
33175-3721
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
-
Taxonomy
246Z00000X
License No.
MA50607 (Florida)
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
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