Individual
MRS. LETICIA PASTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
174 KINGS POND AVE, WINTER HAVEN, FL 33880-1968
(787) 910-1220
Mailing address
174 KINGS POND AVE, WINTER HAVEN, FL 33880-1968
(787) 910-1220
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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