Individual
GUILLERMO LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CHT
Contact information
Practice address
4025 N FEDERAL HWY APT 218A, FT LAUDERDALE, FL 33308-5551
(954) 684-1174
Mailing address
4025 N FEDERAL HWY APT 218A, FT LAUDERDALE, FL 33308-5551
(954) 684-1174
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
061809-1174
FL
Other
Enumeration date
08/10/2009
Last updated
08/10/2009
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