Laura M Leiseca
Nutritionist in Hialeah, FL. Individual provider (NPI-1).
NPI number1023398476
StatusActive
Last updated in NPPESAug 17, 2011
Details
- NPI
- 1023398476
- Entity type
- Individual (NPI-1)
- Name
- Ms. Laura M Leiseca
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 17, 2011
- Last updated
- Aug 17, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133N00000X | Nutritionist | – | – | Yes |
Practice location
8015 W 14th AveHialeah, FL 33014-3437
Phone 305-494-5280
Mailing address
8015 W 14th AveHialeah, FL 33014-3437
Phone 305-494-5280
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