Individual
MARIELY MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
BO JAUCA CALLE 5 NUM 367, SANTA ISABEL, PR 00757
(787) 486-9387
(787) 844-4130
Mailing address
BO JAUCA CALLE 5 NUM 367, SANTA ISABEL, PR 00757
(787) 486-9387
(787) 844-4130
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
623
PR
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
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