Individual
IMMACULADA BELLEZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5594 ANGELONIA TER, LAND O LAKES, FL 34639-2843
(503) 821-9622
Mailing address
5594 ANGELONIA TER, LAND O LAKES, FL 34639-2843
(503) 821-9622
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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