Individual
AMARILYS A DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
49 NW 17TH ST, HOMESTEAD, FL 33030-3210
(786) 349-4700
Mailing address
415 E 60TH ST, HIALEAH, FL 33013-1130
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/29/2017
Last updated
08/29/2017
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