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Individual

AMARILIS VAZQUEZ NIEVES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1490 W 49TH PL STE 401, HIALEAH, FL 33012-8142
(786) 294-0255
Mailing address
10820 SW 88TH ST APT S7, MIAMI, FL 33176-1335
(786) 843-1692

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
10/04/2021
Last updated
10/04/2021
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