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Individual

AILIN KARLA GONZALEZ VAZQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3 SW 129TH AVE STE 203, PEMBROKE PINES, FL 33027-1779
(954) 589-2539
Mailing address
7873 W 36TH AVE UNIT 101, HIALEAH, FL 33018-7531
(305) 812-1891

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
07/22/2022
Last updated
07/22/2022
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