Individual
ALEJANDRO MARTIN CONSUEGRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3021 NW 164TH ST, MIAMI GARDENS, FL 33054-6425
(305) 993-8457
Mailing address
3021 NW 164TH ST, MIAMI GARDENS, FL 33054-6425
(305) 993-8457
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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