Individual
MARINA VILLEGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 OAXACA LN, KISSIMMEE, FL 34743-7019
(407) 350-5904
(407) 641-8319
Mailing address
140 OAXACA LN, KISSIMMEE, FL 34743-7019
(407) 350-5904
(407) 641-8319
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12066
FL
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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