Midalis Damayanti Vega Pino
NPI #1376240838 in Hialeah Gardens, Florida
Provider Information
- NPI Number
- 1376240838
- Entity Type
- Individual
- Name
- Midalis Damayanti Vega Pino
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Feb 14, 2023
- Last Updated
- Aug 9, 2024
Practice Location
- Address
- 8895 NW 112TH TER
- City
- Hialeah Gardens
- State
- Florida
- ZIP Code
- 33018-4533
- Phone
- (786) 281-7139
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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