Individual
LYNDA RESOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
355 9TH PL, VERO BEACH, FL 32960-6819
(772) 770-0077
Mailing address
1727 SW SHADY LAKE TER, PALM CITY, FL 34990-2790
(772) 486-4179
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009349400
—
FL
Enumeration date
05/29/2016
Last updated
05/29/2016
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