MAYRA IRIS PESANTE LOPEZ

TAMPA, FL
NPI1184273161
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2019-09-11
Last Update Date2019-09-11
Business Address
MAYRA IRIS PESANTE LOPEZ
10150 HIGHLANDS MANOR DRIVE SUITE 200
TAMPA, FL 33610
Phone number: 863-602-0698
Mailing Address
MAYRA IRIS PESANTE LOPEZ
PO BOX 6553
LAKELAND, FL 33807-6553
Phone number: 863-602-0698
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