Individual
IGDALIA LUISA NIEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22414 LAUREL LN, SORRENTO, FL 32776-9444
(407) 529-5719
Mailing address
22414 LAUREL LN, SORRENTO, FL 32776-9444
(407) 529-5719
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA10210
FL
Other
Enumeration date
03/08/2010
Last updated
03/08/2010
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