MYA LUCERO MEDINA

DAVENPORT, FL
NPI1205560422
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: FL  SA20339)
Enumeration Date2022-07-13
Last Update Date2022-07-13
Business Address
MYA LUCERO MEDINA CCC-SLP
40124 HIGHWAY 27 STE 103
DAVENPORT, FL 33837-5905
Phone number: 863-419-2500
Mailing Address
MYA LUCERO MEDINA CCC-SLP
120 BRAD CIR
WINTER HAVEN, FL 33880-4983
Phone number: 863-604-9886
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