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Individual

AGNIA LOPEZ MENDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4141 SKYLINE BLVD, CAPE CORAL, FL 33914-7893
(239) 888-1082
Mailing address
4141 SKYLINE BLVD, CAPE CORAL, FL 33914-7893
(239) 888-1082

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary

Other

Enumeration date
02/06/2017
Last updated
02/06/2017
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