Individual
MRS. LEVENIA PHILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19346 MARDI GRAS ST, ORLANDO, FL 32833-3011
(347) 778-8577
Mailing address
19346 MARDI GRAS ST, ORLANDO, FL 32833-3011
(347) 778-8577
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
—
—
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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