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Individual

ALICIA DOMINGUEZ PEREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8020 SW 37TH TER, MIAMI, FL 33155-3457
(786) 355-7390
Mailing address
8020 SW 37TH TER, MIAMI, FL 33155-3457
(786) 355-7390

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-155463

Other

Enumeration date
01/05/2023
Last updated
01/05/2023
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