Individual
MATTIE B MINGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
402 E WIMBLETON CT APT A, TAMPA, FL 33604-1534
(813) 439-4602
Mailing address
402 E WIMBLETON CT APT A, TAMPA, FL 33604-1534
(813) 439-4602
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
FL
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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