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Individual

ALEJANDRO LAZARO MARTINEZ CORDOVI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3285 NW 211TH ST, MIAMI GARDENS, FL 33056-1003
(786) 326-7138
Mailing address
3285 NW 211TH ST, MIAMI GARDENS, FL 33056-1003
(786) 326-7138

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
19-83717
FL

Other

Enumeration date
05/22/2019
Last updated
07/07/2022
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