Individual
ILEANA BARBARA FEITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
619 SW 7TH AVE APT 8, MIAMI, FL 33130-2638
(813) 704-1587
Mailing address
619 SW 7TH AVE APT 8, MIAMI, FL 33130-2638
(813) 704-1587
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
235322
FL
Other
Enumeration date
05/07/2018
Last updated
05/07/2018
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