Individual
TANYA LEITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
408 S K ST, LAKE WORTH, FL 33460-4510
(361) 932-3052
Mailing address
408 S K ST, LAKE WORTH, FL 33460-4510
(361) 932-3052
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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