Individual
MRS. GEMA ELIZABETH MATANLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1116 NIKKI VIEW DR, BRANDON, FL 33511-4868
(855) 832-6727
Mailing address
1116 NIKKI VIEW DR, BRANDON, FL 33511-4868
(855) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
03/16/2017
Last updated
03/16/2017
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