Individual
VIANELLYS VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
116 NE 25TH TER, HOMESTEAD, FL 33033-6214
(917) 689-1134
Mailing address
116 NE 25TH TER, HOMESTEAD, FL 33033-6214
(917) 689-1134
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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