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Individual

IVELISSE VEGA VIERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2045 CALLE TEMPLADO, URB. VILLA PARAISO, PONCE, PR 00728
(939) 217-7809
Mailing address
2045 CALLE TEMPLADO, URBANIZACION VILLA PARAISO, PONCE, PR 00728-3652
(939) 217-7809

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
74579
PR

Other

Enumeration date
05/01/2015
Last updated
05/01/2015
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