Individual
MRS. JUANA GABRIELA BAUZAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
697 SE 3RD ST, MULBERRY, FL 33860-3101
(863) 608-6147
Mailing address
697 SE 3RD ST, MULBERRY, FL 33860-3101
(863) 608-6147
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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