Individual
MRS. MARITZA NISTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
HC 06 BOX 19876, BO HATO ARRIBA, ARECIBO, PR 00612
(787) 817-0468
Mailing address
HC 06 BOX 19876, BO HATO ARRIBA, ARECIBO, PR 00612
(787) 817-0468
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
1697
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1697
TECNICA DE FARMACIA
PR
Enumeration date
04/10/2007
Last updated
07/08/2007
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