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Organization
GRANITO DE MOZTAZA INC
Active
Organization
GRANITO DE MOZTAZA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INES M PEREZ (PRESIDENT)
(786) 474-1368
Entity
Organization
Contact information
Practice address
944 SW 68TH AVE APT 4, MIAMI, FL 33144-4745
(786) 474-1368
Mailing address
944 SW 68TH AVE APT 4, MIAMI, FL 33144-4745
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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