Individual
WANDA IVELISSE CLAUDIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
434 W KENNEDY BLVD STE A, ORLANDO, FL 32810-6237
(407) 875-3700
Mailing address
434 W KENNEDY BLVD STE A, ORLANDO, FL 32810-6237
(407) 875-3700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 9195929
FL
Other
Enumeration date
04/14/2015
Last updated
04/14/2015
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