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Individual

MRS. KELLY BRIDGET MARTINEZ PRATTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LND

Contact information

Practice address
14 CALLE MIGUEL CASILLAS, HUMACAO, PR 00791-3638
(787) 285-5959
(787) 285-8811
Mailing address
#501 CALLE AZUCENA URB EL ENCANTO, JUNCOS, PR 00777
(787) 428-8176

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
2170
PR
133V00000X
Registered Dietitian
Primary
2170
PR

Other

Enumeration date
05/12/2021
Last updated
05/12/2021
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