Individual
ADAENI DIAZ MONTALVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7230 NW 114TH AVE APT 202, DORAL, FL 33178-5566
(786) 723-9111
Mailing address
7230 NW 114TH AVE APT 202, DORAL, FL 33178-5566
(786) 723-9111
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
FL
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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