Individual
KEILA RENTAS CENTENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4717 SE HAWTHORNE BLVD APT 205, PORTLAND, OR 97215-3300
(787) 477-9176
Mailing address
4717 SE HAWTHORNE BLVD APT 205, PORTLAND, OR 97215-3300
(787) 477-9176
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0016128
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016128
PHARMACIST
OR
Enumeration date
09/29/2017
Last updated
07/21/2022
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