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Individual

AISKEL ANDREINA PRIETO BRACHO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10300 SUNSET DR STE 114, MIAMI, FL 33173-3038
(305) 508-5580
Mailing address
9975 SW 152ND TER, MIAMI, FL 33157-1683
(786) 537-2284

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106S00000X
FL
Enumeration date
09/06/2018
Last updated
06/07/2019
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