Individual
KIBEL QUESADA DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 NW 56TH AVE, MIAMI, FL 33126-4920
(786) 269-3719
Mailing address
100 NW 56TH AVE, MIAMI, FL 33126-4920
(786) 269-3719
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/30/2008
Last updated
07/30/2008
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