Individual
LIANEC PEREZ QUINTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHA
Contact information
Practice address
2104 W RAMBLA ST, TAMPA, FL 33612-7535
(813) 516-4382
Mailing address
2104 W RAMBLA ST, TAMPA, FL 33612-7535
(813) 516-4382
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112828100
—
FL
Enumeration date
02/28/2022
Last updated
02/28/2022
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