Individual
IVELISSE VEGUILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CARR 14 KM 51.8 INT, BO ROBLES, AIBONITO, PR 00705
(787) 903-3776
(787) 954-0517
Mailing address
PMB 169 BOX 2400, AIBONITO, PR 00705
(787) 903-3776
(787) 954-0517
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/15/2006
Last updated
04/11/2011
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