Individual
LEISHLY MARIE NIEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS SLP
Contact information
Practice address
CARR 167 KM 21.2, URB FOREST HILLS, BAYAMON, PR 00493
(787) 999-8262
Mailing address
13A O708 URB ALTURAS DE RIO GRANDE, RIO GRANDE, PR 00745
(787) 366-5523
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
004118
PR
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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