Individual
DORA MARIA MEJIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IN HOME SUPPORT
Contact information
Practice address
1020 W BUSCH BLVD, TAMPA, FL 33612-7704
(813) 531-0360
(813) 252-9688
Mailing address
1020 W BUSCH BLVD, TAMPA, FL 33612-7704
(813) 531-0360
(813) 252-9688
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
—
—
311Z00000X
Custodial Care Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
372600000X
Adult Companion
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
05/16/2018
Last updated
04/05/2019
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