Individual
MISS ELISA MARIE DE LA MONEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
6301 SW 5TH PL, PLANTATION, FL 33317-3911
(813) 382-4669
Mailing address
6301 SW 5TH PL, PLANTATION, FL 33317-3911
(813) 382-4669
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
85181
TX
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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