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Jacqueline Olivia Pedraza, RBT

Technician in Miramar, FL. Individual provider (NPI-1).

NPI number1982178117
StatusActive
Last updated in NPPESJan 22, 2019

Details

NPI
1982178117
Entity type
Individual (NPI-1)
Name
Jacqueline Olivia Pedraza
Credential
RBT
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 22, 2019
Last updated
Jan 22, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374700000X Technician––Yes

Practice location

1900 Sw 135th Way
Miramar, FL 33027-3466

Phone 954-552-2351

Mailing address

1900 Sw 135th Way
Miramar, FL 33027-3466

Phone 954-552-2351

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