Individual provider · Type 1 NPI

Jackeline A. De la Grana

Other Specialist/Technologist · Hialeah, FL

NPI number 1235397258 Active

Practice location

1490 W 49th Pl, Suite 210
Hialeah, FL 33012-3148

Mailing address

4444 SW 136th Pl
Miami, FL 33175-3721

Specialties and licenses

TaxonomyCodeLicense
Other Specialist/Technologist Primary 246Z00000XMA50607 (FL)

Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

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About NPI 1235397258

Jackeline A. De la Grana's National Provider Identifier is 1235397258, issued on May 27, 2008. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Hialeah, FL. The record was last updated on May 27, 2008.