Individual
AGUSTIN JOSE DELANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
48880 DENTON RD APT 31, VAN BUREN TWP, MI 48111-2071
(216) 544-7106
Mailing address
48880 DENTON RD APT 31, VAN BUREN TWP, MI 48111-2071
(216) 544-7106
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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