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Individual

NASHALI DE LEON HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
13203 GLOBE DR STE 111, MOUNT PLEASANT, WI 53177-1616
(262) 287-0090
Mailing address
1513 S 62ND ST, WEST ALLIS, WI 53214-5036
(414) 698-9827

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5252-154
WI

Other

Enumeration date
06/14/2021
Last updated
06/14/2021
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