Individual
YURI PAMELA DIAZ CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SI 5871
Contact information
Practice address
111 E LAKE MARY BLVD # 113, SANFORD, FL 32773-7111
(407) 792-8818
Mailing address
401 W SEMINOLE BLVD APT 214, SANFORD, FL 32771-7803
(787) 477-3771
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI5871
FL
Other
Enumeration date
09/14/2022
Last updated
11/01/2022
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