Individual
LYSSEEVETH SERRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1031 SW JERICHO AVE, PORT ST LUCIE, FL 34953-7216
(772) 519-4053
(772) 237-2590
Mailing address
1031 SW JERICHO AVE, PORT ST LUCIE, FL 34953-7216
(772) 519-4053
(772) 237-2590
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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