Individual
ENIDE VILMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1086 LOCUST AVE NW, PALM BAY, FL 32907-7989
(407) 914-9331
Mailing address
1086 LOCUST AVE NW, PALM BAY, FL 32907-7989
(407) 914-9331
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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