Individual
IVONNE DAMARIS OTERO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7012 CALLE PEDRO NATER, VEGA BAJA, PR 00693-4737
(787) 602-7975
Mailing address
7012 CALLE PEDRO NATER, VEGA BAJA, PR 00693-4737
(787) 602-7975
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
3022
PR
2355S0801X
Speech-Language Assistant
35856
TX
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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