Individual
ALIX TERESA MANRIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
612 HANCOCK BRIDGE PKWY, CAPE CORAL, FL 33990-1164
(305) 429-3144
Mailing address
612 HANCOCK BRIDGE PKWY, CAPE CORAL, FL 33990-1164
(305) 429-3144
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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