Individual
IDIS TEJEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 W 68ST, APT 204, HIALEAH, FL 33014
(305) 490-8170
Mailing address
220 W 68ST, APT 204, HIALEAH, FL 33014
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SI1928
FL
Other
Enumeration date
03/14/2011
Last updated
03/14/2011
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