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Individual
MARIA THERESA DE JESUS-ROETLIN
Active
Individual
MARIA THERESA DE JESUS-ROETLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLINICAL PHARMACIST
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
20452
IA
183500000X
Pharmacist
Primary
73902
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015131
—
IA
01
—
420985270
FEDERAL ID ASSOC. MEDICAI
—
Enumeration date
11/01/2006
Last updated
09/26/2025
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