Individual
MS. LAURA M LEISECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8015 W 14TH AVE, HIALEAH, FL 33014-3437
(305) 494-5280
Mailing address
8015 W 14TH AVE, HIALEAH, FL 33014-3437
(305) 494-5280
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
08/17/2011
Last updated
08/17/2011
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