Individual
MRS. PAMELA ANASTACIA LUGO CORREIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TECHNICIAN
Contact information
Practice address
H353 CALLE 7, ALTURAS DE RIO GRANDE, RIO GRANDE, PR 00745
(787) 462-5507
Mailing address
H353 CALLE 7, ALTURAS DE RIO GRANDE, RIO GRANDE, PR 00745
(787) 462-5507
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
1777
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1495298
DRIVER LICENSE
PR
01
—
1777
TECHNICIAN LICENSE
PR
Enumeration date
10/28/2016
Last updated
10/28/2016
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