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Individual

ALICIA RODRIGUEZ MARRERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10810 SW 172ND ST, MIAMI, FL 33157-4057
(786) 442-0412
Mailing address
10810 SW 172ND ST, MIAMI, FL 33157-4057
(786) 442-0412

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
107099800
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
107099800
FL
Enumeration date
12/01/2021
Last updated
12/01/2021
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