Individual
MRS. MAYLINE VILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDA.
Contact information
Practice address
URB. EXT. ALTURAS DE JOYUDA, CALLE ANA GABRIELA FF2, CABO ROJO, PR 00623
(787) 409-7372
Mailing address
PO BOX 1380, BOQUERON, PR 00622-1380
(787) 409-7372
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
7298
PR
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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