ANGELA DIAZ-VIDAILLET

MIAMI SHORES, FL
NPI1427717255
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  MH2353)
Additional Taxonomies101YP2500X Counselor, Professional
Enumeration Date2021-12-09
Last Update Date2021-12-09
Business Address
ANGELA DIAZ-VIDAILLET
65 NW 107TH ST
MIAMI SHORES, FL 33168-4306
Phone number: 305-542-4128
Mailing Address
ANGELA DIAZ-VIDAILLET
65 NW 107TH ST
MIAMI SHORES, FL 33168-4306
Phone number: 305-542-4128