Individual
LUZVIMINDA BANARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6303 NASHVILLE AVE., PENSACOLA, FL 32526
(850) 944-8575
Mailing address
6303 NASHVILLE AVE., PENSACOLA, FL 32526
(850) 944-8575
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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