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Individual

EZEQUIEL MOLINA DIAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
34 CALLE GEORGETTI, COMERIO, PR 00782-2539
(787) 735-1974
Mailing address
HC 6 BOX 12424, COROZAL, PR 00783-7815
(939) 252-4502

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
779
PR

Other

Enumeration date
10/16/2024
Last updated
10/16/2024
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