Individual
FERNANDA SUSTAITA-MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 W 27TH ST LOT 15, HAYS, KS 67601-1880
(785) 639-6375
Mailing address
1500 W 27TH ST LOT 15, HAYS, KS 67601-1880
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/28/2024
Last updated
09/28/2024
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