Individual
ALEYDA P BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11177 SW 8TH ST APT 308, PEMBROKE PINES, FL 33025-6987
(786) 359-9358
Mailing address
11177 SW 8TH ST APT 308, PEMBROKE PINES, FL 33025-6987
(786) 359-9358
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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