Individual
SIAKA LEMAILLOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1822 SPRING GARDEN ST, PHILADELPHIA, PA 19130-4122
(215) 607-6835
Mailing address
1500 S DOUGLAS RD STE 230, CORAL GABLES, FL 33134-4108
(844) 244-1818
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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