Individual
AMALIA BLANCO MOURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7108 HAZELHURST CT, TAMPA, FL 33615-2946
(813) 507-1750
Mailing address
7108 HAZELHURST CT, TAMPA, FL 33615-2946
(813) 507-1750
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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