Individual
ENIDE GUILLAUME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1004 PINEGROVE DR, BRANDON, FL 33511-7728
(813) 481-1544
Mailing address
1004 PINEGROVE DR, BRANDON, FL 33511-7728
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
5779-6-GC
FL
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
5779-6GC
FL
Other
Enumeration date
12/21/2024
Last updated
12/21/2024
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