Individual
AILYN GUTIERREZ ROQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21340 SW 112TH AVE APT 301, CUTLER BAY, FL 33189-2927
(786) 784-8520
Mailing address
21340 SW 112TH AVE APT 301, CUTLER BAY, FL 33189-2927
(786) 784-8520
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/19/2024
Last updated
07/23/2024
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