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Individual

ANA LAURA LA ROSA MOSQUERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6908 DONALD AVE, TAMPA, FL 33614-4020
(813) 568-5085
Mailing address
6908 DONALD AVE, TAMPA, FL 33614-4020
(813) 568-5085

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
25-406218
FL

Other

Enumeration date
01/22/2025
Last updated
01/22/2025
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