Individual
ENEILITZA IVELISSE REYES MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 PLAZA REAL SOUTH APT 616, BOCA RATON, FL 33432
(570) 534-8808
Mailing address
11 PLAZA REAL SOUTH APT 616, BOCA RATON, FL 33432
(570) 534-8808
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI-4322
FL
Other
Enumeration date
06/11/2022
Last updated
06/11/2022
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