Individual
JANAINA GUEDES FAITA MODESTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6100 LAKE ELLENOR DR STE 261, ORLANDO, FL 32809-4638
(407) 968-7807
(407) 386-8022
Mailing address
201 BELLE FONTAINE CIR APT 203, LAKE MARY, FL 32746-2267
(407) 968-7807
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI6485
FL
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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