Individual
ALONDRA SOE SIBERIO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1324 STATE ROAD 60 E, LAKE WALES, FL 33853-4322
(863) 207-7753
Mailing address
213 DR MARTIN LUTHER KING ST, DUNDEE, FL 33838-4512
(863) 207-7753
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/05/2022
Last updated
09/04/2024
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