Individual
KENIA BLANCO RAMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
165 E BLOOMINGDALE AVE, BRANDON, FL 33511-8102
(813) 643-6969
Mailing address
902 ESSEX RD, BRANDON, FL 33510-2735
(786) 306-3508
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH28168
FL
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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