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Individual

LILIAN MOKUA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
625 FLORIDA PKWY, KISSIMMEE, FL 34743-7548
(321) 217-9058
Mailing address
1121 DARNABY WAY, ORLANDO, FL 32824-5035
(321) 217-9058

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12963
FL
376G00000X
Nursing Home Administrator

Other

Enumeration date
08/28/2017
Last updated
08/28/2017
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