Individual
ANA MARGARITA BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13849 SW 84TH ST, MIAMI, FL 33183-4435
(786) 443-5784
Mailing address
13849 SW 84TH ST, MIAMI, FL 33183-4435
(786) 443-5784
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
103932500
FL
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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