Individual
MABEL SANTAMARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1331 KEVSTIN DR, KISSIMMEE, FL 34744
(407) 575-4636
(321) 250-7425
Mailing address
PO BOX 452878, KISSIMMEE, FL 34745-2878
(407) 575-4636
(321) 250-7425
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
113250
FL
Other
Enumeration date
06/10/2011
Last updated
06/10/2011
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