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Organization
LORETA ANON
Active
Organization
LORETA ANON
Active
Other names
LRCA LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LORETA ANON (OWNER)
(786) 449-8402
Entity
Organization
Contact information
Practice address
16965 SW 289TH TER, HOMESTEAD, FL 33030-2557
(786) 449-8402
Mailing address
16965 SW 289TH TER, HOMESTEAD, FL 33030-2557
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
10/04/2024
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