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CARMEN DEL ROSARIO PONCE DE LEON RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3949 MILLSTONE ST, LAKE WALES, FL 33898-7377
(386) 281-8588
Mailing address
3949 MILLSTONE ST, LAKE WALES, FL 33898-7377

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-25-491-308
FL

Other

Enumeration date
11/25/2025
Last updated
11/25/2025
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