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Individual

ANA L DIAZ CARRAZANA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
27767 SW 133RD PL, HOMESTEAD, FL 33032-6854
(786) 291-7116
Mailing address
27767 SW 133RD PL, HOMESTEAD, FL 33032-6854
(786) 291-7116

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-20-121825
FL
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
12/20/2019
Last updated
11/10/2020
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