ELINEA BASAN

PORT SAINT LUCIE, FL
NPI1679334098
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
(Licence: FL  000000)
Enumeration Date2024-01-22
Last Update Date2024-01-22
Business Address
Miss ELINEA BASAN
247 SW PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL 34984-5015
Phone number: 772-207-1356
Mailing Address
Miss ELINEA BASAN
2141 SE NEW YORK ST
PORT SAINT LUCIE, FL 34952-4862
Phone number: 772-204-6885
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