Individual
ANA GUADALUPE CARRASCO JARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3831 W VINE ST STE 60, KISSIMMEE, FL 34741-4650
(407) 559-4854
Mailing address
1541 WHITEWATER FALLS DR, ORLANDO, FL 32824-4331
(407) 202-2679
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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