Individual
ROSA G GUILLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA.
Contact information
Practice address
5615 GARDEN GROVE CIR, WINTER PARK, FL 32792-7326
(407) 247-5470
Mailing address
5615 GARDEN GROVE CIR, WINTER PARK, FL 32792-7326
(407) 247-5470
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171M00000X
—
FL
Enumeration date
06/23/2013
Last updated
06/23/2013
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