Individual
MISS VIVIAN SOFIA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. SLP
Contact information
Practice address
GAVIOTA C-6 TIERRALTA 1, GUAYNABO, PR 00969
(787) 731-9619
Mailing address
GAVIOTA C-6 TIERRALTA 1, GUAYNABO, PR 00969
(787) 731-9619
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
784
PR
Other
Enumeration date
07/17/2007
Last updated
08/18/2011
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