EIDIS LOPEZ ROQUE

TAMPA, FL
NPI1154922581
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: FL  RBT-20-118924)
Enumeration Date2020-11-03
Last Update Date2021-07-26
Business Address
EIDIS LOPEZ ROQUE
9226 BALFERN CT
TAMPA, FL 33615-5722
Phone number: 813-693-8291
Mailing Address
EIDIS LOPEZ ROQUE
9226 BALFERN CT
TAMPA, FL 33615-5722
Phone number: 813-693-8291
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