Individual
ADISVEL MERCHANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17031 NW 86TH AVE, HIALEAH, FL 33015-3709
(786) 301-9071
Mailing address
17031 NW 86TH AVE, HIALEAH, FL 33015-3709
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
FL
Other
Enumeration date
01/16/2022
Last updated
01/16/2022
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