Individual provider · NPI-1
Jessica Cestero
Technician, Other · Apopka, FL
NPI number1184065310
StatusActive
Last updated in NPPESOct 19, 2016
Details
- NPI
- 1184065310
- Entity type
- Individual (NPI-1)
- Name
- Jessica Cestero
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 16, 2013
- Last updated
- Oct 19, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
| 104100000X | Social Worker | – | – |
Practice location
523 Wekiva Commons Cir # 4Apopka, FL 32712-3645
Phone 407-464-2111
Mailing address
5827 Tarleton WayMount Dora, FL 32757-8067
Phone 407-464-2111
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