Individual
MRS. ANA L PUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2516 22ND ST SW, LEHIGH ACRES, FL 33976-3601
(605) 350-2967
Mailing address
PO BOX 516, LEHIGH ACRES, FL 33970-0516
(605) 350-2967
(239) 491-2113
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
P532-012-99-748-0
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P532-012-99-748-0
FLDLL
FL
Enumeration date
02/07/2018
Last updated
02/07/2018
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