Leidys Herrada

NPI #1609467836 in Clewiston, Florida

Provider Information

NPI Number: 1609467836
Entity Type: Individual
Name: Leidys Herrada
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jan 30, 2021
Last Updated: Jan 30, 2021

Practice Location

Address: 607 W OBISPO AVE
City: Clewiston
State: Florida
ZIP Code: 33440-4326
Phone: (863) 677-4189

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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