Individual
MUNIRA FONSECA CAMPOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
573 ANTIGUA AVE, TAVARES, FL 32778-4787
(201) 212-8032
Mailing address
573 ANTIGUA AVE, TAVARES, FL 32778-4787
(201) 212-8032
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI6686
FL
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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