Individual
MRS. YESSENIA DE LA LUZ GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1706 TURTLE ROCK DR, LAKELAND, FL 33803-4267
(863) 531-1552
Mailing address
1706 TURTLE ROCK DR, LAKELAND, FL 33803-4267
(863) 531-1552
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
YG87630103P
IL
Other
Enumeration date
04/26/2007
Last updated
06/12/2009
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