Individual
ALVARO MALLET HERNANDEZ SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1665 W 68TH ST STE 201, HIALEAH, FL 33014-4400
(786) 773-3393
(786) 773-3394
Mailing address
17670 NW 67TH AVE APT 1501, HIALEAH, FL 33015-5862
(786) 539-7430
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
FL
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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