Individual
JANSENNY RODRIGUEZ MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6941 ALOMA AVE APT 76, WINTER PARK, FL 32792-7702
(407) 640-4940
Mailing address
6941 ALOMA AVE APT 76, WINTER PARK, FL 32792-7702
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
FL
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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