Individual
LISMERY GORDILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
3976585
Contact information
Practice address
CARR 132 KM 22.1, PONCE, PR 00728
(787) 290-1953
Mailing address
#100 CONDOMINIO LA CEIBA, APARTAMENTO 910, PONCE, PR 00717
(787) 449-4232
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5971
PR
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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