LEANDRA DANIELLE SOLIS

PORT WENTWORTH, GA
NPI1619602968
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy252Y00000X Early Intervention Provider Agency
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2022-07-20
Last Update Date2022-07-20
Business Address
LEANDRA DANIELLE SOLIS
108 BIRCH CIR
PORT WENTWORTH, GA 31407-3322
Phone number: 512-496-8536
Mailing Address
LEANDRA DANIELLE SOLIS
108 BIRCH CIR
PORT WENTWORTH, GA 31407-3322
Phone number: 512-496-8536