Individual
LEAH GENOVESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1391 NW 136TH AVE, SUNRISE, FL 33323-2800
(570) 445-7482
Mailing address
1391 NW 136TH AVE, SUNRISE, FL 33323-2800
(570) 445-7482
(770) 723-8793
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN627088
PA
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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