Individual
NIRCA JETZENIA NIEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH, PHD
Contact information
Practice address
PLAZA LAUREL, BAYAMON, PR 00956-3273
(787) 269-4200
(787) 269-4270
Mailing address
PLAZA LAUREL, BAYAMON, PR 00956-3273
(787) 269-4200
(787) 269-4270
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5036
PR
Other
Enumeration date
05/27/2011
Last updated
05/27/2011
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