Individual
KENIA MABEL LAUCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 E BAKER ST STE 100, PLANT CITY, FL 33563-3700
(813) 754-5555
(813) 754-5552
Mailing address
2216 WHISPERING PINES DR, TAMPA, FL 33604-2515
(813) 970-3586
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
FL
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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