Most Relevant Information
Provider Data
NPI Number: | 1003224767 |
Provider Name: | LEONELA FONSECA |
Entity Type: | Individual |
Taxonomy Code: | 104100000X |
Specialty: | Social Worker |
License Number: |
Most Important Dates
Enumeration Date: | 07/25/2014 |
Last Updated: | 07/25/2014 |
Provider Practice Location
13004 SW 88 TERRACE
MIAMI
FL
33186
Practice Location Phone/Fax
Phone: | 3059652601 |
Fax: |
Provider Mailing Location
13004 SW 88 TERRACE
MIAMI
FL
33186
Provider Mailing Phone/Fax
Phone: | 3059652601 |
Fax: |