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Individual

KENYA QUIALA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3201 BUDINGER AVE, SAINT CLOUD, FL 34769-7203
(407) 910-2941
(888) 477-7678
Mailing address
2337 LILY PAD LN, KISSIMMEE, FL 34743-3653
(787) 531-9119

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11360
PR

Other

Enumeration date
02/15/2017
Last updated
02/15/2017
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