Individual
ADELHEID DE LA LUZ LORENZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1329 PERIWINKLE PL, WELLINGTON, FL 33414-8653
(561) 818-4536
Mailing address
1329 PERIWINKLE PL, WELLINGTON, FL 33414-8653
(561) 818-4536
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-283523
FL
Other
Enumeration date
08/18/2023
Last updated
08/18/2023
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