Individual
ABDELAZIZ SIDI NUNEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
206 UTAH AVE, FORT MYERS, FL 33905-2713
(786) 754-4815
Mailing address
206 UTAH AVE, FORT MYERS, FL 33905-2713
(786) 754-4815
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1034576
FL
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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