Individual
ADDEL MANUEL JURADO JOMARRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22218 SW 58TH AVE, BOCA RATON, FL 33428-4532
(561) 212-9288
Mailing address
22218 SW 58TH AVE, BOCA RATON, FL 33428-4532
(561) 212-9288
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-356611
FL
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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