Individual
ANISLEY LIMA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
701 W 35TH ST, HIALEAH, FL 33012-5130
(786) 712-1206
Mailing address
701 W 35TH ST, HIALEAH, FL 33012-5130
(786) 712-1206
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA14994
FL
Other
Enumeration date
11/13/2015
Last updated
10/01/2018
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