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Individual

ENRIQUE LEONARDO III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CDCES

Contact information

Practice address
1216 E HUNTING PARK AVE, PHILADELPHIA, PA 19124-4928
(215) 533-1333
(215) 744-4324
Mailing address
1216 E HUNTING PARK AVE, PHILADELPHIA, PA 19124-4928
(215) 533-1333
(215) 744-4324

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
174H00000X
Health Educator

Other

Enumeration date
06/21/2022
Last updated
06/21/2022
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