VENECIA LASALLE JEAN

MIAMI, FL
NPI1083136808
Other NameVENECIA LASALLE JEAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
Enumeration Date2017-07-13
Last Update Date2017-07-13
Business Address
VENECIA LASALLE JEAN
6304 NW 14TH AVE
MIAMI, FL 33147-8008
Phone number: 908-368-1156
Mailing Address
VENECIA LASALLE JEAN
435 NE 171ST TER
NORTH MIAMI BEACH, FL 33162-3914
Phone number: 908-368-1156