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Individual

IRIS B FONTANEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
#355 FONT MARTELO AVE., HUMACAO, PR 00791
(787) 852-0768
(787) 656-0735
Mailing address
URB. SANTA MARIA MAYOR 75 C/8 APT. B-9, HUMACAO, PR 00791
(787) 852-0768
(787) 656-0735

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2850
PR

Other

Enumeration date
10/05/2009
Last updated
04/05/2018
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