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Individual

MRS. MARIA PADRON IZQUIERDO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2901 19TH ST SW, LEHIGH ACRES, FL 33976-3656
(239) 369-0613
Mailing address
2901 19TH STREET SW, LEHIGH ACRES, FL 33976
(239) 369-0613

Taxonomy

Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
CNA 171465
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6906329
AGENCY OF HEALTHCARE ADMINISTRATION, DIV OF HEALTH QUALITY ASSURANCE
FL
Enumeration date
06/19/2009
Last updated
06/19/2009
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