Individual
DANITZA LORENA CANAL MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SA-C
Contact information
Practice address
14313 AVALON RESERVE BLVD APT 304, ORLANDO, FL 32828-5139
(786) 508-3865
Mailing address
14313 AVALON RESERVE BLVD APT 304, ORLANDO, FL 32828-5139
(786) 508-3865
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
21-178
WI
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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