Hermina Jean

NPI 1386045813 - Custodial Care Facility - 311ZA0620X

NPI Details
NPI 1386045813
Gender Female
Enumeration Date 09/16/2014
Last Updated 09/16/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
3502 LONDONBERRY BLVD
ORLANDO FL, 32808-3629, US
Phone (407) 334-5475
Fax
Business Location
3502 LONDONDERRY BLVD
ORLANDO FL, 32808-3629, US
Phone (407) 334-5475
Fax
Toxanomy
Taxonomy Code 311ZA0620X
License State Florida
License Number AHCA # 6906583
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According to our database, Hermina Jean NPI is 1386045813, taxonomy code is 311ZA0620X and license number is AHCA # 6906583, license state is located at Florida. Hermina Jean physically located at 3502 Londonberry Blvd, Orlando FL, 32808-3629. NPI Number Hermina Jean has the Individual type.

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1386045813 NPI number is provided on an as is basis without warranty of any kind. 1386045813 is maintained by the National Plan & Provider Enumeration System. The contents of Hermina Jean are for informational purposes only.