Individual
MRS. WANDA LOPEZ SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LND, CLE
Contact information
Practice address
HC 2 BOX 7068, COMERIO, PR 00782-9611
(787) 516-2409
Mailing address
HC 02 BOX 7068, COMERIO, PR 00782
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
1023
PR
Other
Enumeration date
04/27/2007
Last updated
07/08/2007
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