Individual
ENNY COLLADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9814 SOMERSET WIND DR APT 302, RIVERVIEW, FL 33578-5536
(786) 362-3566
Mailing address
9814 SOMERSET WIND DR APT 302, RIVERVIEW, FL 33578-5536
(786) 362-3566
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
04/23/2021
Last updated
04/23/2021
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