Individual
LYLLYMAR COLON RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 NE 15TH ST STE 101D, HOMESTEAD, FL 33030-4564
(833) 779-8646
Mailing address
15590 SW 106TH LN APT 1106, MIAMI, FL 33196-3503
(786) 246-9193
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
10960
FL
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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