YADIRA DE JESUS LUGO

KISSIMMEE, FL
NPI1538864020
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy222Q00000X Developmental Therapist
Additional Taxonomies252Y00000X Early Intervention Provider Agency
Enumeration Date2023-04-03
Last Update Date2023-04-03
Business Address
YADIRA DE JESUS LUGO
1200 N CENTRAL AVE STE 110
KISSIMMEE, FL 34741-4439
Phone number: 407-530-5063
Mailing Address
YADIRA DE JESUS LUGO
3121 ROYAL TERN DR
WINTER HAVEN, FL 33881-7305
Phone number: 863-207-7368