Individual
CAREENA ANNIA BLANC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 CLARK ST, OVIEDO, FL 32765-7378
(407) 359-5693
Mailing address
17132 ARBOR WOODS CT, ORLANDO, FL 32820-2252
(407) 968-2919
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ10473
FL
246Q00000X
Pathology Specialist/Technologist
SZ10473
FL
Other
Enumeration date
11/09/2021
Last updated
12/28/2021
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