RANDY LA VILLA

MIAMI, FL
NPI1316316359
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: FL  SA14812)
Enumeration Date2015-09-21
Last Update Date2019-11-11
Business Address
RANDY LA VILLA SLP
7872 W FLAGLER ST
MIAMI, FL 33144
Phone number: 786-360-5029
Mailing Address
RANDY LA VILLA SLP
2500 W 67TH PL APT 24
HIALEAH, FL 33016-2816
Phone number: 305-873-9720