Individual
CARLOS ANTONIO PONS LEDESMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10971 SW 5TH ST APT 3, MIAMI, FL 33174-1346
(786) 556-9296
Mailing address
10971 SW 5TH ST APT 3, MIAMI, FL 33174-1346
(786) 556-9296
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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