Individual
NANCY ISIDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1728 BURNHAM CT, CLERMONT, FL 34714-8048
(407) 535-3542
Mailing address
1728 BURNHAM CT, CLERMONT, FL 34714-8048
(407) 535-3542
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6907020
FL
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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