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Individual

MRS. ANGELITA EUSEBIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
388 CALLE AMERICA, SUITE 5, SAN JUAN, PR 00917-4214
(787) 763-5308
(787) 763-5312
Mailing address
PO BOX 193722, SAN JUAN, PR 00919-3722
(787) 763-5308
(787) 763-5312

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
005389
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
005389
TECHNICIAN LICENSE
PR
01
118398
TECHNICIAN REGISTER
PR
Enumeration date
04/17/2007
Last updated
07/08/2007
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