Individual
KEISHA DIOMARIS GONZALEZ PELLOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5449 S SEMORAN BLVD, ORLANDO, FL 32822-1722
(904) 947-0376
Mailing address
5449 S SEMORAN BLVD, ORLANDO, FL 32822-1722
(904) 947-0376
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
7005
PR
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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