Individual
JOMMIELLE QUIAMBAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1024 E OSCEOLA PKWY, KISSIMMEE, FL 34744-1607
(407) 250-0626
Mailing address
600 RIVER BIRCH CT APT 1127, CLERMONT, FL 34711-5136
(352) 221-0785
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
30813
FL
Other
Enumeration date
03/27/2021
Last updated
03/27/2021
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