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Ketluimar Vallecillo Samot

NPI 1518718204 · on the registry since 2024

Practice

Address
912 Roanoke Dr
Minneola, FL 34715
Phone
(434) 665-4822

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-03-29

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