Organization
THE HEALERS SPACE WELLNESS CENTER PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WANDA I ROSA ROMAN (PRESIDENT)
(939) 219-1148
Entity
Organization
Contact information
Practice address
3106 AVE JUAN HERNANDEZ ORTIZ, ISABELA, PR 00662-3614
(787) 872-5042
Mailing address
3106 AVE JUAN HERNANDEZ ORTIZ, ISABELA, PR 00662-3614
(787) 872-5042
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/07/2019
Last updated
08/20/2021
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