Individual
ROSELYN LLANTO LEETOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 GEORGIA AVE, FORT PIERCE, FL 34950-4943
(305) 331-4227
Mailing address
1301 GEORGIA AVE HOUSE, FORT PIERCE, FL 34950-1301
(305) 331-4227
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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