Individual
REGLA D RODRIGUEZ BAUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3205 FOXRIDGE CT, LAKE WORTH, FL 33461-3681
(561) 876-1294
Mailing address
3205 FOXRIDGE CT, LAKE WORTH, FL 33461-3681
(561) 876-1294
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88-4245278
TRANSPORTATION
FL
Enumeration date
11/03/2022
Last updated
11/03/2022
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