JOHNATHAN MALDONADO ESPADA

LAKELAND, FL
NPI1740816040
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2020-03-18
Last Update Date2020-03-18
Business Address
JOHNATHAN MALDONADO ESPADA
621 N LAKE PARKER AVE
LAKELAND, FL 33801-2040
Phone number: 863-519-0575
Mailing Address
JOHNATHAN MALDONADO ESPADA
PO BOX 1559
BARTOW, FL 33831-1559
Phone number: 863-519-0575