Individual
LEANIS G DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2831 NW 11TH ST, CAPE CORAL, FL 33993-5752
(134) 773-9019
Mailing address
2831 NW 11TH ST, CAPE CORAL, FL 33993-5752
(347) 739-0199
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
FL
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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