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Individual

ADRIANA LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8001 SW 36TH ST STE 9, DAVIE, FL 33328-1915
(954) 577-7790
Mailing address
8001 SW 36TH ST STE 9, DAVIE, FL 33328-1915
(954) 577-7790

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
12/07/2017
Last updated
12/07/2017
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