Individual
LLESIRIS CORES NIEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 PARK PLACE BLVD STE 3, KISSIMMEE, FL 34741-2358
(407) 530-5063
(877) 399-5578
Mailing address
102 PARK PLACE BLVD STE 3, KISSIMMEE, FL 34741-2358
(407) 530-5063
(877) 399-5578
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
FL
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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