# SOBELLA AESTHETICS AND WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SoBella Aesthetics and Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457110454
- **Authorized official:** YULEIMA PLACENCIA GONZALEZ AUTONOMOUS APRN (NURSE PRACTITIONER)
- **Authorized official phone:** (786) 925-8495

## Contact information

- **Practice address:** 3905 NW 107TH AVE STE 409, DORAL, FL 33178-2785
- **Practice address phone:** (178) 692-5849
- **Mailing address:** 3905 NW 107TH AVE STE 409, DORAL, FL 33178-2785
- **Mailing address phone:** (786) 925-8495

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/13/2024
- **Last updated:** 03/13/2024