Individual
KEYLA FRANCISCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BUSINESS OWNER
Contact information
Practice address
1631 PINEBERRY ST, LAKELAND, FL 33803-3432
(863) 709-4454
Mailing address
1631 PINEBERRY ST, LAKELAND, FL 33803-3432
(863) 709-4454
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
192181
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
192181
BUSINESS LICENCE
—
Enumeration date
04/03/2017
Last updated
04/03/2017
About Stedi
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