Individual
LISANDRA CRESPO-PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3919 W HAMILTON AVE, TAMPA, FL 33614-2654
(813) 847-2416
Mailing address
3919 W HAMILTON AVE, TAMPA, FL 33614-2654
(813) 847-2416
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101350000
—
FL
Enumeration date
02/11/2021
Last updated
02/16/2021
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