FANNY PERALTA CARRIZOSA

BRANDON, FL
NPI1710233028
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy222Q00000X Developmental Therapist
Enumeration Date2012-07-24
Last Update Date2012-07-24
Business Address
-- FANNY PERALTA CARRIZOSA
708 PEARL CIR
BRANDON, FL 33510-4246
Phone number: 813-409-0435
Mailing Address
-- FANNY PERALTA CARRIZOSA
15008 DEER MEADOW DR
LUTZ, FL 33559-3120
Phone number: 813-785-2114