Individual
GRACIELA LODEIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6400 WOODLAKE DR NE APT 202, PALM BAY, FL 32905-6175
(787) 439-5605
Mailing address
6400 WOODLAKE DR NE APT 202, PALM BAY, FL 32905-6175
(787) 439-5605
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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