Individual
LAVINIA MOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3116 48TH AVE S, SAINT PETERSBURG, FL 33712-4343
(813) 412-0122
Mailing address
3116 48TH AVE S, SAINT PETERSBURG, FL 33712-4343
(813) 412-0122
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
235237
FL
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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