Vontrise Mike
NPI #1710526827 in Winter Haven, Florida
Provider Information
- NPI Number
- 1710526827
- Entity Type
- Individual
- Name
- Vontrise Mike
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Adult Companion
- Enumeration Date
- Jan 6, 2020
- Last Updated
- Jan 6, 2020
Practice Location
- Address
- 724 ORCHID SPRINGS DR
- City
- Winter Haven
- State
- Florida
- ZIP Code
- 33884-1645
- Phone
- (863) 229-6295
Specialties & Taxonomy Codes
| Specialty |
|---|
| Adult Companion |
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