Individual
ANDIE MATHURIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 LAKE LORINE DR, ORLANDO, FL 32808-6122
(438) 764-7975
Mailing address
1717 LAKE LORINE DR, ORLANDO, FL 32808-6122
(438) 764-7975
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/03/2019
Last updated
02/03/2019
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