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Mattie Mingo

NPI 1205390143 · on the registry since 2019 · sole proprietor

Practice

Address
402 E Wimbleton Ct Apt A
Tampa, FL 33604
Phone
(813) 439-4602

Registry record

Primary taxonomy
374U00000X
374U00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-01-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida