KENNETH LOGDONIO POTESTAS

DELRAY BEACH, FL
NPI1194170555
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy302R00000X Health Maintenance Organization
(Licence: IL  070022093)
Enumeration Date2016-05-04
Last Update Date2016-05-04
Business Address
Miss KENNETH LOGDONIO POTESTAS PT
16089 POPPYSEED CIR UNIT 2008
DELRAY BEACH, FL 33484-6314
Phone number: 561-713-0812
Mailing Address
Miss KENNETH LOGDONIO POTESTAS PT
16089 POPPYSEED CIR UNIT 2008
DELRAY BEACH, FL 33484-6314
Phone number: 561-713-0812
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