Individual
MANUELA ELISE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1661 W OAK RIDGE RD APT D, ORLANDO, FL 32809-3950
(407) 536-1280
Mailing address
1661 W OAK RIDGE RD APT D, ORLANDO, FL 32809-3950
(407) 536-1280
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
R163-540-75-882-0
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN9188809
SENIOR COMPANION CARE
FL
Enumeration date
03/09/2021
Last updated
03/09/2021
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