Individual
ALIUSKA SARMIENTO LAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1665 W 68TH ST STE 201, HIALEAH, FL 33014-4400
(786) 773-3393
(786) 773-3394
Mailing address
2090 SW 122ND AVE APT 28, MIAMI, FL 33175-7372
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/14/2017
Last updated
03/17/2018
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