Individual
ASHLEY JAILYN VAZQUEZ MATIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
CARR. 115 KM 19.2 INT, AGUADA, PR 00602
(787) 667-3553
Mailing address
HC 57 BOX 9400, AGUADA, PR 00602-9828
(787) 667-3553
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6714
PR
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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