Individual
AMPARO D GALLO FORNARIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8861 SW 142ND AVE APT 9-28, MIAMI, FL 33186-4026
(786) 454-5194
Mailing address
8861 SW 142ND AVE APT 9-28, MIAMI, FL 33186-4026
(786) 454-5194
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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