Individual
NELLY MARILIS SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
543 CALLE REINIER, JARDINES DE MONACO III, MANATI, PR 00674
(787) 362-2862
Mailing address
URB. MONACO III CALLE REINIER #543, MANATI, PUERTO RICO 00674
(787) 362-2862
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
0041542
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6453133
FIRST MEDICAL
PR
Enumeration date
05/12/2017
Last updated
05/12/2017
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