Organization
BLUE LIFE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAGYULIS GONZALEZ GUEVARA (OWNER)
(786) 314-1855
Entity
Organization
Contact information
Practice address
18117 SW 139TH PATH, MIAMI, FL 33177-7728
(786) 314-1855
Mailing address
18117 SW 139TH PATH, MIAMI, FL 33177-7728
(786) 314-1855
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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