Individual
STEPHANIE SHANI GONZALEZ OLIVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 PASEO DEL VETERANO, PONCE, PR 00716-2001
(787) 812-3030
Mailing address
141 PRESIDIO POINTE, CROSS LANES, WV 25313-1591
(787) 527-5504
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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