PHOENIX BULLIS-CABALLOS

BRANDON, FL
NPI1871302919
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  ISW19019)
Enumeration Date2025-01-03
Last Update Date2025-04-30
Business Address
PHOENIX BULLIS-CABALLOS
1106 NIKKI VIEW DR
BRANDON, FL 33511-4868
Phone number: 813-680-1367
Mailing Address
PHOENIX BULLIS-CABALLOS
10914 LE JARDIN CIR APT 102
TEMPLE TERRACE, FL 33617-2810
Phone number: 813-593-7053
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