Individual
LEA ROSE CRESTODINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3501 JOHNSON ST, DIABETES CENTER, HOLLYWOOD, FL 33021-5421
(954) 265-5856
Mailing address
3501 JOHNSON ST, DIABETES CENTER, HOLLYWOOD, FL 33021-5421
(954) 265-5856
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
1803582
FL
Other
Enumeration date
12/31/2012
Last updated
12/31/2012
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