Individual
JACKELINE PEREZ CARRASQUILLO I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENCIADA
Contact information
Practice address
URB. VILLAS DE TRUJILLO ALTO, CALLE 2 NUM 29 A, TRUJILLO ALTO, PR 00976
(787) 513-4300
Mailing address
PO BOX 1105, TRUJILLO ALTO, PR 00977-1105
(787) 513-4300
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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