Individual
KIRENIA BAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7001 N HOWARD AVE, TAMPA, FL 33604-5240
(813) 304-1204
(813) 304-1248
Mailing address
7001 N HOWARD AVE, TAMPA, FL 33604-5240
(813) 304-1204
(813) 304-1248
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
AL12278
FL
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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