SHELLY FONSECA

LUTZ, FL
NPI1174060305
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  10331)
Enumeration Date2017-01-26
Last Update Date2017-01-26
Business Address
-- SHELLY FONSECA
19008 AVENUE BAYONNES
LUTZ, FL 33558-5356
Phone number: 305-469-5014
Mailing Address
-- SHELLY FONSECA
19008 AVENUE BAYONNES
LUTZ, FL 33558-5356
Phone number: 305-469-5014
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