Individual
MISS JISSELA CARRION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CALLE CLAVEL I 296 LOIZA VALLEY, CANOVANAS, PR 00729
(787) 550-1159
Mailing address
115 CALLE RODRIGO DE TRIANA, SAN JUAN, PR 00918-3207
(787) 550-1159
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
4449
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4433676
DRIVERS LICENSE
PR
Enumeration date
03/05/2007
Last updated
07/08/2007
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