Individual
LLENISLEYDI ACANDA GERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CBHCM.0104465
Contact information
Practice address
26290 PARKER AVE APT 3304, HOMESTEAD, FL 33032-3861
(305) 928-9795
Mailing address
26290 PARKER AVE APT 3304, HOMESTEAD, FL 33032-3861
(305) 928-9795
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
0104465
FL
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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