Individual
JOSE A COLON VALENTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
529 INTERLOCK ST, LAKE ALFRED, FL 33850-3910
(787) 421-6380
Mailing address
529 INTERLOCK ST, LAKE ALFRED, FL 33850-3910
(787) 421-6380
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
FL
Other
Enumeration date
12/14/2020
Last updated
12/15/2020
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