Individual
BETZALY OLMEDA TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
114 WOODPECKER CT, DAVENPORT, FL 33837-5233
(787) 414-4613
Mailing address
114 WOODPECKER CT, DAVENPORT, FL 33837-5233
(787) 414-4613
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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