1083916944

Everything you always wanted to know about PROENZA NILDA CASE MANAGER but were afraid to ask.

PROENZA NILDA CASE MANAGER

You can also download the this 1083916944 data report as csv | excel | json | xml
Provider Last Name Provider First Name Provider Credential
PROENZA NILDA CASE MANAGER
Gender:
Female
Enumeration date:
2010-11-29
Last update date:
2010-11-29
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
171M00000X Case Manager/Care Coordinator none none Y

Phone Numbers

Type Number
Mailing Address Telephone Number 2392522697
Practice Location Address Telephone Number 2392522697
Mailing Address Fax Number 2392522552
Practice Location Address Fax Number 2392522552

Addresses

Type Address City State Postal Country
Mailing Address 3339 E TAMIAMI TRL SUITE 145 NAPLES FL 34112 FL
Practice Location Address 3339 E TAMIAMI TRL SUITE 145 NAPLES FL 34112 FL

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