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Individual

DR. SULY DAIRAY ILLAS MENDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
CARR 125 KM 12.6 BO CAPA VARGAS, MOCA, PR 00676-0067
(787) 642-0559
Mailing address
HC 2 BOX 12446, MOCA, PR 00676-8263
(787) 642-0559

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
3569
PR

Other

Enumeration date
03/26/2019
Last updated
01/03/2020
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