Individual
MARITZA SANTANA POMALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3128 BLAINE CIR, DELTONA, FL 32738-5335
(386) 456-7841
Mailing address
3128 BLAINE CIR, DELTONA, FL 32738-5335
(386) 456-7841
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ISW9162
FL
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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