LIS LIEN VIZCAINO DOMINGUEZ

SAINT CLOUD, FL
NPI1124866009
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
(Licence: FL  243600629)
Enumeration Date2024-07-16
Last Update Date2024-07-16
Business Address
LIS LIEN VIZCAINO DOMINGUEZ
1513 ORANGE AVE
SAINT CLOUD, FL 34769-4740
Phone number: 407-748-8020
Mailing Address
LIS LIEN VIZCAINO DOMINGUEZ
1513 ORANGE AVE
SAINT CLOUD, FL 34769-4740
Phone number: 407-748-8020