JORGE LICEA

DORAL, FL
NPI1881161180
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2018-10-25
Last Update Date2018-12-29
Business Address
JORGE LICEA
9600 NW 25TH ST STE PH
DORAL, FL 33172
Phone number: 305-597-3861
Mailing Address
JORGE LICEA
9600 NW 25TH ST STE PH
DORAL, FL 33172-1416
Phone number: 305-597-3861
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