Individual
AMADA DE LORETA PENA SALSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
741 NW 45TH AVE APT 44, MIAMI, FL 33126-2490
(786) 861-4326
Mailing address
741 NW 45TH AVE APT 44, MIAMI, FL 33126-2490
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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