Individual
IZABELL MINGUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
602 VONDERBURG DR STE 201, BRANDON, FL 33511-5900
(813) 653-1149
Mailing address
9513 DELANEY CREEK BLVD APT 404, TAMPA, FL 33619-5183
(252) 259-6131
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI6307
FL
Other
Enumeration date
08/15/2022
Last updated
10/09/2023
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