Individual
ADIALVIS GUERRA LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
822 NE 9TH TER, CAPE CORAL, FL 33909-1427
(239) 460-5191
Mailing address
822 NE 9TH TER, CAPE CORAL, FL 33909-1427
(239) 460-5191
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
FL
Other
Enumeration date
08/16/2024
Last updated
08/21/2024
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