Individual
NAYDA IVELISSE DAVILA FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
820 CYPRESS PKWY STE B, KISSIMMEE, FL 34759-3424
(407) 913-1010
(407) 992-8697
Mailing address
PO BOX 569, SALINAS, PR 00751-0569
(787) 358-0290
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI5846
FL
Other
Enumeration date
11/13/2017
Last updated
05/03/2024
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