Individual
MRS. ELIZABETH ALICEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MEDICAL TECHNOLOGIST
Contact information
Practice address
JR1 CALLE LIZZIE GRAHAM, TOA BAJA, PR 00949-3637
(787) 448-3109
Mailing address
PO BOX 6157, SAN JUAN, PR 00914-6157
(787) 448-3109
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
2395
PR
Other
Enumeration date
10/23/2007
Last updated
10/23/2007
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