Individual
KATEAU CERISME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
320 N MAGNOLIA AVE, ORLANDO, FL 32801-1624
(954) 243-7478
Mailing address
320 N MAGNOLIA AVE, ORLANDO, FL 32801-1624
(719) 896-9749
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
COS705761
CO
Other
Enumeration date
03/13/2020
Last updated
03/13/2020
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