Individual
WANDA I. MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
AVENIDA LOS DOMINICOS CALLE 25, MIRAFLORES, BAYAMON, PR 00956
(787) 620-9615
Mailing address
HC 72 BOX 3884, NARANJITO, PR 00719-9807
(787) 326-8863
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
1692
PR
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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