Individual
KIARISEL M NEWELL DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14012 WILLOW GRACE, ORLANDO, FL 32824-3300
(407) 572-6709
Mailing address
14012 WILLOW GRACE, ORLANDO, FL 32824-3300
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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