Individual
MARIANELA DE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8100 OAK LN STE 404, MIAMI LAKES, FL 33016-5876
(305) 952-3125
Mailing address
13721 SW 45TH TER, MIAMI, FL 33175-3760
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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