Individual
YAIRA LIEDL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8006 BEAVER CREEK LOOP, HUDSON, FL 34667-2435
(210) 386-7276
Mailing address
8006 BEAVER CREEK LOOP, HUDSON, FL 34667-2435
(210) 386-7276
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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