Individual
JUANA MARI VILLAVICENCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLD
Contact information
Practice address
4000 GATEWAY CENTRE BLVD STE 200, PINELLAS PARK, FL 33782-6141
(727) 798-8993
Mailing address
4000 GATEWAY CENTRE BLVD STE 200, PINELLAS PARK, FL 33782-6141
(727) 798-8993
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
2013-189
FL
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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