Individual
MARIA VANESSA SALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2730 SHEARWATER ST, CLERMONT, FL 34711-6274
(352) 217-0687
Mailing address
2730 SHEARWATER ST, CLERMONT, FL 34711-6274
(352) 217-0687
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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