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Individual
YENMA MILAGRO VIDAL
Active
Individual
YENMA MILAGRO VIDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-19-77231
FL
363LF0000X
Family Nurse Practitioner
Primary
11018570
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RBT-19-77231
—
FL
Enumeration date
10/03/2019
Last updated
07/09/2022
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