Individual
MRS. ANA BRISEIDA BONILLA QUINONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
561 SWALLOWTAIL DR, HAINES CITY, FL 33844-7740
(787) 403-5512
Mailing address
561 SWALLOWTAIL DR, HAINES CITY, FL 33844-7740
(787) 403-5512
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
8436
FL
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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