Individual
DIANELIS GARCIA ROQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8401 SW 107TH AVE APT 168E, MIAMI, FL 33173-4363
(786) 908-2577
(305) 742-2190
Mailing address
8401 SW 107TH AVE APT 168E, MIAMI, FL 33173-4363
(786) 908-2577
(305) 742-2190
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/04/2018
Last updated
12/09/2021
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