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Individual

ANA IBIS MARTINEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
13764 KENDALE LAKES DR, MIAMI, FL 33183-2109
(305) 922-4741
Mailing address
13764 KENDALE LAKES DR, MIAMI, FL 33183-2109
(305) 922-4741

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
05/20/2017
Last updated
07/21/2022
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