Individual
MRS. WANDA IVELISSE COLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
PR 190 & CAMPO RICO, CAROLINA, PR 00979
(787) 762-1290
Mailing address
URB. PALACIOS REALES NUM 86 C-19, TOA ALTA, PR 00953
(787) 359-3971
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4967
PR
Other
Enumeration date
05/26/2011
Last updated
05/26/2011
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