JACQUELINE ANGELES PORTOBANCO

MIAMI GARDENS, FL
NPI1679117691
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: FL  OTA16049)
Enumeration Date2019-11-01
Last Update Date2019-11-01
Business Address
JACQUELINE ANGELES PORTOBANCO
18713 NW 46TH AVE
MIAMI GARDENS, FL 33055-2655
Phone number: 754-610-0209
Mailing Address
JACQUELINE ANGELES PORTOBANCO
18713 NW 46TH AVE
MIAMI GARDENS, FL 33055-2655
Phone number: 754-610-0209
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