Individual
ZARA ELIZABETH MAGANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
365 S MARION AVE STE 105, LAKE CITY, FL 32025-5233
(386) 965-1572
(386) 401-2356
Mailing address
365 S MARION AVE STE 105, LAKE CITY, FL 32025-5233
(386) 965-1572
(386) 401-2356
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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