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Individual

YAIZA VIDAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A

Contact information

Practice address
COND. VEREDAS DEL MAR, APTO.5305, VEGA BAJA, PR, PR 00693
(787) 616-3565
Mailing address
COND. VEREDAS DEL MAR, APTO.5305, VEGA BAJA, PR, PR 00693
(787) 616-3565

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5321
PR

Other

Enumeration date
06/03/2014
Last updated
06/03/2014
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