Individual
KRYSTAL ZUE CANALES CRESPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8359 BEACON BLVD STE 416, FORT MYERS, FL 33907-3065
(786) 972-4700
Mailing address
10030 SHEPHARD ST APT 304, ESTERO, FL 33967-8404
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
FL
Other
Enumeration date
08/02/2018
Last updated
08/18/2019
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