Individual
EVELYN DE JESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41 CALLE PIMENTEL, RIO GRANDE, PR 00745
(787) 888-1228
(787) 888-1228
Mailing address
PO BOX 1694, RIO GRANDE, PR 00745
(787) 888-1228
(787) 888-1228
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1913
PR
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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