Individual
ALIUSKA ALBA FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4085 HANCOCK BRIDGE PKWY STE 101, NORTH FORT MYERS, FL 33903-7220
(239) 677-3767
Mailing address
300 INTERNATIONAL PKWY STE 299, LAKE MARY, FL 32746-5035
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/08/2018
Last updated
03/06/2024
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