Individual
JEALEANET DIEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1802 NAVARRA STREET, PONCE, PR 00730
(787) 641-7582
Mailing address
1720 SW 37TH ST, GAINESVILLE, FL 32607-4442
(787) 414-2640
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PSI44714
FL
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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