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Individual

AMARIS ELGUEZABAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
12316 SW 20TH TER, MIAMI, FL 33175-7709
(786) 642-4321
Mailing address
12316 SW 20TH TER, MIAMI, FL 33175-7709
(786) 642-4321

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
FL

Other

Enumeration date
08/01/2022
Last updated
08/01/2022
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