Individual
MRS. INGRID M MATOS - MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
2536 AVENTURINE ST, KISSIMMEE, FL 34744-7207
(407) 922-4836
Mailing address
2536 AVENTURINE ST, KISSIMMEE, FL 34744-7207
(407) 922-4836
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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