Individual
MARISA LEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 CRAWFORD BLVD STE 103, BOCA RATON, FL 33432-3762
(561) 395-9920
Mailing address
5065 ARBOR GLEN CIR, LAKE WORTH, FL 33463-8042
(954) 778-1764
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
4130
FL
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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