Individual
MISS LESLIE ANN RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
500 FLORIDA PKWY, KISSIMMEE, FL 34743-7510
(518) 653-7654
Mailing address
500 FLORIDA PKWY, KISSIMMEE, FL 34743-7510
(518) 653-7654
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5206618
FL
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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