Individual
MISS AHTZIRI CORTEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
814 5TH ST APT 7, WOODLAND, CA 95695-4973
(916) 475-9745
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/16/2022
Last updated
12/16/2022
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