Individual
YENNISSE ELIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
702 RACHNA LN APT C702, KISSIMMEE, FL 34741-2861
(407) 963-6845
(863) 540-2549
Mailing address
702 RACHNA LN APT C702, KISSIMMEE, FL 34741-2861
(407) 963-6845
(863) 540-2549
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
E423960655500
FL
Other
Enumeration date
06/04/2017
Last updated
07/21/2022
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