Individual
ALISDEYVIS SUALLERO RAMIREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11855 NE 19TH DR APT 45, NORTH MIAMI, FL 33181-2840
(727) 645-7109
Mailing address
11855 NE 19TH DR APT 45, NORTH MIAMI, FL 33181-2840
(727) 645-7109
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/24/2017
Last updated
02/24/2017
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