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Individual

ALIN ULLOA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
565 W 43RD PL, HIALEAH, FL 33012-3851
(786) 712-9451
Mailing address
565 W 43RD PL, HIALEAH, FL 33012-3851
(786) 712-9451

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
376J00000X
Homemaker
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
852036503
FL
Enumeration date
08/24/2020
Last updated
08/27/2021
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