Individual
YUDENIA LEYVA MAYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 E LAKE MARY BLVD, SANFORD, FL 32773-7111
(407) 203-9492
Mailing address
374 PRESERVE POINTE BLVD, DAVENPORT, FL 33837-9341
(165) 071-4491
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
4733
FL
Other
Enumeration date
05/06/2021
Last updated
05/06/2021
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