Individual
MRS. IVETTE MARGARITA MOCTEZUMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
ANEXO JARDINES DE CERRO GORDO 139, SAN LORENZO, PR 00754
(787) 736-8255
Mailing address
P.O. BOX 8, SAN LORENZO, PR 00754
(787) 736-8255
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00743
PR
Other
Enumeration date
09/21/2010
Last updated
09/21/2010
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