Individual
ANA MARY COTO ROQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7140 NW 179TH ST APT 205, HIALEAH, FL 33015-5432
(786) 909-5744
Mailing address
7140 NW 179TH ST APT 205, HIALEAH, FL 33015-5432
(786) 909-5744
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
24-320025
FL
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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