Individual
AGLAINTHA BASSIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
556 3RD AVE, OCOEE, FL 34761-3900
(407) 872-3112
Mailing address
556 3RD, OCOEE, FL 34761
(407) 872-3112
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
FL
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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