Individual
ALESSANDRA DAISY DAVALOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 GLADES CIR STE 275, WESTON, FL 33327-2268
(954) 478-3353
Mailing address
2900 GLADES CIR STE 275, WESTON, FL 33327-2268
(954) 478-3353
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000979200
—
FL
Enumeration date
01/28/2022
Last updated
01/28/2022
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