Individual
IVELISSE BLASINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
STATE 149 & STATE 584, PLAZA JUANA DIAZ CARR.14 INR.CARR, 584, JUANA DIAZ, PR 00795
(787) 260-1544
(787) 260-1544
Mailing address
STATE 149 & STATE 584, JUANA DIAZ, PR 00795
(787) 260-1544
(787) 260-1544
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4289
PR
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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