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1821557315
WENDY LICET HERNANDEZ
ORLANDO, FL
NPI
1821557315
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Former Name
WENDY LICET NIEVES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA28806)
Enumeration Date
2019-03-14
Last Update Date
2019-03-18
Business Address
WENDY LICET HERNANDEZ PTA
215 ANNIE ST
ORLANDO, FL 32806-1207
Phone number: 407-847-4371
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Mailing Address
WENDY LICET HERNANDEZ PTA
211 ESPLANADE WAY APT 107
CASSELBERRY, FL 32707-6816
Phone number: 321-295-1640
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