Individual
LEIDY J PORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9940 SW 62ND ST, MIAMI, FL 33173-1432
(786) 704-6147
Mailing address
9940 SW 62ND ST, MIAMI, FL 33173-1432
(786) 704-6147
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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