Individual
JOHANNY TERESA COLMENARES TABORDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8961 DANIELS CENTER DR STE 401, FORT MYERS, FL 33912-0314
(239) 309-5361
Mailing address
8961 DANIELS CENTER DR STE 401, FORT MYERS, FL 33912-0314
(239) 309-5361
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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