Individual
ANGELA I TEJEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3625 NW 82ND AVE STE N, DORAL, FL 33166-6652
(786) 643-7819
Mailing address
3625 NW 82ND AVE STE N, DORAL, FL 33166-6652
(786) 643-7819
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
126800000X
Dental Assistant
—
—
171M00000X
Case Manager/Care Coordinator
—
—
171W00000X
Contractor
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
03/16/2021
Last updated
11/04/2021
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