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Individual

LESLIE ANN RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED

Contact information

Practice address
3002 SENNA CT, ORLANDO, FL 32826-2508
(407) 375-1638
Mailing address
3002 SENNA CT, ORLANDO, FL 32826-2508
(407) 375-1638

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
172V00000X
Community Health Worker
174H00000X
Health Educator

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003425200
FL
Enumeration date
10/14/2015
Last updated
10/14/2015
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