Individual
ETELVINA INFANTE GOUBERNEUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9755 NW 52ND ST APT 405, DORAL, FL 33178-2075
(786) 823-1118
Mailing address
9755 NW 52ND ST APT 405, DORAL, FL 33178-2075
(786) 823-1118
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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