Individual
ADIS LOPEZ GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8251 NW 8TH ST APT 214, MIAMI, FL 33126-3945
(786) 770-5221
Mailing address
8251 NW 8TH ST APT 214, MIAMI, FL 33126-3945
(786) 770-5221
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
FL
Other
Enumeration date
08/31/2024
Last updated
08/31/2024
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