Individual
ALFREDO T MARQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6440 NW 114TH AVE UNIT 437, DORAL, FL 33178-4580
(305) 492-5746
Mailing address
6440 NW 114TH AVE UNIT 437, DORAL, FL 33178-4580
(305) 492-5746
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
18-61803
FL
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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