Individual
AURA ISABEL TELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1144 COLLINS AVE, ORANGE CITY, FL 32763-8404
(386) 473-3022
Mailing address
1144 COLLINS AVE, ORANGE CITY, FL 32763-8404
(386) 473-3022
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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