Individual
LUZ DEJESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10680 SW 186TH ST, 36, CUTLER BAY, FL 33157-6720
(305) 969-9448
Mailing address
26600 SW 146TH CT, 505, HOMESTEAD, FL 33032-6507
(305) 969-9448
(305) 969-9748
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
16388
ZZ
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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