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Organization
WADAJA III LLC
Active
Organization
WADAJA III LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ODALIS HERNANDEZ (PRESIDENT)
(786) 326-0418
Entity
Organization
Contact information
Practice address
310 NW 107TH AVE APT 101, MIAMI, FL 33172-3824
(786) 326-0418
Mailing address
310 NW 107TH AVE APT 101, MIAMI, FL 33172-3824
(786) 326-0418
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/18/2022
Last updated
11/07/2022
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