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1679921985
RAIZA M FERNANDEZ
HOMESTEAD, FL
NPI
1679921985
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
253Z00000X In Home Supportive Care
Enumeration Date
2016-05-26
Last Update Date
2019-11-05
Business Address
RAIZA M FERNANDEZ
1428 E MOWRY DR APT 103
HOMESTEAD, FL 33033-4955
Phone number: 305-632-0931
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Mailing Address
RAIZA M FERNANDEZ
29120 SW 147TH AVE
HOMESTEAD, FL 33033-2760
Phone number:
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