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Organization
CONSCIOUS LEADERS
Active
Organization
CONSCIOUS LEADERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LESLIE ESTHER DOMINGUEZ M.A., PH D (PRESIDENTA)
(787) 798-4453
Entity
Organization
Contact information
Practice address
CARR 167, EDIF TOMAS KUILLAN, 2DO PISO, BAYAMON, PR 00959
(787) 798-4453
Mailing address
2135 CARR. #2 SUITE 15 PMB 357, DRIVE IN PLAZA, BAYAMON, PR 00959
(787) 596-0358
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
02/27/2007
Last updated
04/05/2010
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