Individual
YANIA IVELISSE ENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. PSY.
Contact information
Practice address
43 CALLE SANTIAGO PALMER N, 43 NORTE, GUAYAMA, PR 00784-4967
(787) 318-2504
(787) 864-4362
Mailing address
43 CALLE SANTIAGO PALMER N, 43 NORTE, GUAYAMA, PR 00784-4967
(787) 318-2504
(787) 864-4362
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3100
PR
Other
Enumeration date
05/17/2010
Last updated
05/17/2010
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