Individual
LEONOR ELENA PENA SALAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1750 NW 107TH AVE, SWEETWATER, FL 33172-2895
(786) 600-0594
Mailing address
1750 NW 107TH AVE, SWEETWATER, FL 33172-2895
(786) 600-0594
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
23-596
WI
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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