Individual
LISANDRA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7603 WINGING WAY DR, TAMPA, FL 33615-1521
(813) 284-6211
Mailing address
7603 WINGING WAY DR, TAMPA, FL 33615-1521
(813) 284-6211
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12530
FL
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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