Organization
WALMART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KYLMARIE SERRANO (HEALTH & WELLNESS REGIONAL DIRECTOR)
(787) 643-7777
Entity
Organization
Contact information
Practice address
CARR PR 2 INTERSECCION PR 165, BO MEDIA LUNA, TOA BAJA, PR 00949
(787) 653-8031
Mailing address
CARR PR 2 INTERSECCION PR 165, BO MEDIA LUNA, TOA BAJA, PR 00949
(787) 653-8031
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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