Individual
ELISA MARGOT BOBADILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1006 MORVAN LN, KISSIMMEE, FL 34759-7023
(407) 580-5668
Mailing address
1006 MORVAN LN, KISSIMMEE, FL 34759-7023
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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