Individual
LITZA RIVERA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 OLD BAY LN, KISSIMMEE, FL 34743-6135
(407) 922-4977
Mailing address
200 OLD BAY LN, KISSIMMEE, FL 34743-6135
(407) 922-4977
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/03/2021
Last updated
02/03/2021
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