Individual
MARIOLA PEDRAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 CALLE BARCELO, BARRANQUITAS, PR 00794-1710
(787) 617-9583
Mailing address
15 CALLE BARCELO, BARRANQUITAS, PR 00794-1710
(787) 617-9583
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4308
PR
Other
Enumeration date
08/28/2013
Last updated
08/28/2013
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