Individual
LEISY RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5470 W 16TH AVE, HIALEAH, FL 33012-2105
(305) 456-2646
Mailing address
5470 W 16TH AVE, HIALEAH, FL 33012-2105
(305) 456-2646
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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