Individual
ELSA VILLARRAGA-RINCON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11545 TANGLE BRANCH LN, GIBSONTON, FL 33534-5348
(813) 770-9940
Mailing address
11545 TANGLE BRANCH LN, GIBSONTON, FL 33534-5348
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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