Individual
GRISELLE UNDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
716 E BELLA VISTA ST, LAKELAND, FL 33805-3009
(863) 683-6504
(863) 688-9292
Mailing address
716 E BELLA VISTA ST, LAKELAND, FL 33805-3009
(863) 683-6504
(863) 688-9292
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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