Individual
LOTUS YAMNA DINAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14505 RIALTO AVE, BROOKSVILLE, FL 34613-5050
(352) 515-6329
(352) 453-5547
Mailing address
14505 RIALTO AVE, BROOKSVILLE, FL 34613-5050
(352) 515-6329
(352) 453-5547
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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