Individual
MRS. AGOSTINA TAMBUCHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1216 S MISSOURI AVE UNIT 325, CLEARWATER, FL 33756-9011
(727) 692-5280
Mailing address
1216 S MISSOURI AVE UNIT 325, CLEARWATER, FL 33756-9011
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/16/2016
Last updated
10/16/2016
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