Individual
CHERYL AURISE DELOSSANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
2211 W VINE ST, KISSIMMEE, FL 34741-3980
(407) 846-1109
(407) 846-6574
Mailing address
2211 W VINE ST, KISSIMMEE, FL 34741-3980
(407) 846-1109
(407) 846-6574
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
RPT15652
FL
Other
Enumeration date
12/20/2012
Last updated
12/20/2012
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