Organization
L. AMERICAN CORP
Active
Other names
Rancho Luna Restaurant
Organization subpart
No
Provider details
NPI number
Authorized official
MISS GUILLERMO MOSQUEDA (PRESIDENT)
(305) 642-9123
Entity
Organization
Contact information
Practice address
45 NW 22ND AVE, MIAMI, FL 33125-5213
(305) 642-9123
(305) 642-9951
Mailing address
45 NW 22ND AVE, MIAMI, FL 33125-5213
(305) 642-9123
(305) 642-9951
Taxonomy
Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
SEA2302820
FL
Other
Enumeration date
05/13/2015
Last updated
05/13/2015
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