Individual
RAELYS LYVET DE LEON FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
997 CALLE SAN ROBERTO, SAN JUAN, PR 00926-2759
(787) 773-6501
Mailing address
RR 36 BOX 8195, SAN JUAN, PR 00926-9961
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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