Individual
LEIDY ANA RODRIGUEZ ALBERTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
419 W 49TH ST, STE 210, HIALEAH, FL 33012
(855) 832-6727
(772) 675-9100
Mailing address
4575 SE DIXIE HIGHWAY, STUART, FL 34997
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
01/30/2017
Last updated
01/30/2017
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