JUAN CARLOS DIAZ MASSIP

FORT MYERS, FL
NPI1235917865
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2023-09-15
Last Update Date2023-09-15
Business Address
JUAN CARLOS DIAZ MASSIP
1591 HAYLEY LN STE 101
FORT MYERS, FL 33907-2121
Phone number: 239-288-6046
Mailing Address
JUAN CARLOS DIAZ MASSIP
1023 NW 19TH TER
CAPE CORAL, FL 33993-3913
Phone number: 239-645-1116