Individual
ILIA DE LOS ANGELES DIAZ MOURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
4705 NW 7TH ST APT 305-7, MIAMI, FL 33126-2259
(786) 663-6125
Mailing address
4705 NW 7TH ST APT 305-7, MIAMI, FL 33126-2259
(786) 663-6125
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
RBT-20-129234
FL
Other
Enumeration date
07/31/2020
Last updated
07/31/2020
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