Individual
LARITZA AGUILAR VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12302 HEALEY SUMMIT LN, RIVERVIEW, FL 33579-7708
(813) 484-2314
Mailing address
6337 TREETOP CIR, TEMPLE TERRACE, FL 33617-2715
(813) 484-2314
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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