KATIA TOLEDO CERQUEIRA GANESH

LAKE CITY, FL
NPI1619290210
Former NameKATIA TOLEDO CERQUEIRA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL  arnp9266612)
Additional Taxonomies163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: FL  RN9266612)
Enumeration Date2010-03-10
Last Update Date2013-07-31
Business Address
-- KATIA TOLEDO CERQUEIRA GANESH ARNP
619 S MARION AVE
LAKE CITY, FL 32025-5808
Phone number: 386-755-3016
Mailing Address
-- KATIA TOLEDO CERQUEIRA GANESH ARNP
619 S MARION AVE
LAKE CITY, FL 32025-5808
Phone number: 386-755-3016