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Individual

MRS. CAROL ROLDAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.

Contact information

Practice address
169 BUTARE AVE #1, PLAZA REAL 207, GUAYNABO, PR 00969
(787) 562-6500
Mailing address
570 LA MANCHA MANS. CIUDAD JARDIN, CAUAS, PR 00727-1430
(787) 562-6500

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
005152
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
005152
LICENSE
PR
Enumeration date
07/09/2013
Last updated
07/09/2013
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