Individual
MRS. MIRIAM MARTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2554 JASMINE TRACE DR, KISSIMMEE, FL 34758-1925
(407) 496-4533
Mailing address
2554 JASMINE TRACE DR, KISSIMMEE, FL 34758-1925
(407) 694-4633
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
FL
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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