GUILLERMO LUCERO DIAZ

WINTER HAVEN, FL
NPI1457026148
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA28397)
Enumeration Date2021-08-13
Last Update Date2021-08-13
Business Address
GUILLERMO LUCERO DIAZ PTA
330 AVENUE C SE
WINTER HAVEN, FL 33880-3243
Phone number: 863-268-2903
Mailing Address
GUILLERMO LUCERO DIAZ PTA
330 AVENUE C SE
WINTER HAVEN, FL 33880-3243
Phone number: 863-268-2903
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