Individual
MISS MIRTHA BLANC III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1513 CLIMBING DAYFLOWER DR, RUSKIN, FL 33570-4948
(813) 733-1726
Mailing address
1513 CLIMBING DAYFLOWER DR, RUSKIN, FL 33570-4948
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
—
FL
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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