Individual
MILAGROS CARRENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2203 SHERMONT PL, BRANDON, FL 33511-6935
(813) 454-5891
Mailing address
11139 IRISH MOSS AVE, RIVERVIEW, FL 33569-2223
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/02/2017
Last updated
08/02/2017
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