Individual
AMPARO POUTOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2655 W 52ND ST, UNIT 19, HIALEAH, FL 33016-4018
(786) 223-4059
Mailing address
2655 W 52ND ST, UNIT 19, HIALEAH, FL 33016-4018
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/05/2017
Last updated
06/28/2019
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