Individual
ABDHALY DE FATIMA LOPEZ MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1534 SW 4TH ST APT 2, MIAMI, FL 33135-3641
(786) 616-7722
Mailing address
1534 SW 4TH ST APT 2, MIAMI, FL 33135-3641
(786) 616-7722
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-326981
FL
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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