Individual
CHARMAINE RANOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13707 DALLAS DR, HUDSON, FL 34667-7179
(727) 378-5823
Mailing address
13707 DALLAS DR, HUDSON, FL 34667-7179
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
99029694A
IN
225100000X
Physical Therapist
Primary
25148
FL
Other
Enumeration date
11/07/2007
Last updated
03/02/2016
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