Individual
AMARYLIS A RAMOS MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2789 ORTIZ AVENUE, FORT MYERS, FL 33905
(239) 791-1586
Mailing address
3736 EVANS AVENUE, FORT MYERS, FL 33901
(239) 791-1586
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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