Individual
MICAELA ILIANA LENI LARRALDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
160 NW 176TH ST STE 344, MIAMI GARDENS, FL 33169-5049
(305) 816-6300
Mailing address
401 69TH ST APT 812, MIAMI BEACH, FL 33141-3124
(832) 610-6711
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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