IMMACULA AUGUSTIN

TAMPA, FL
NPI1881194595
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy376J00000X Homemaker
(Licence: FL  A223-400-70-803-1)
Enumeration Date2018-02-19
Last Update Date2018-06-16
Business Address
IMMACULA AUGUSTIN
5711 N NEBRASKA AVE
TAMPA, FL 33604-7125
Phone number: 813-270-1013
Mailing Address
IMMACULA AUGUSTIN
5711 N NEBRASKA AVE
TAMPA, FL 33604-7125
Phone number: 813-270-1013
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