Individual
MR. LEONARDO ESTEBAN NOGUERA JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ITDS
Contact information
Practice address
641 CYPRESS LAKE BLVD APT K, DEERFIELD BEACH, FL 33064-5088
(954) 940-0035
Mailing address
641 CYPRESS LAKE BLVD APT K, DEERFIELD BEACH, FL 33064-5088
(954) 940-0035
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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