MATTHEW MANSOUR

LAKELAND, FL
NPI1558050799
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: FL  11898)
Enumeration Date2023-05-03
Last Update Date2026-06-22
Business Address
MATTHEW MANSOUR
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805-4543
Phone number: 863-687-1100
Mailing Address
MATTHEW MANSOUR
19919 WITTENBURG
SAN ANTONIO, TX 78256-2115
Phone number: 210-254-2911
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