Individual
JINNERVA MIRANDA POLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
BAIROA GOLDEN GATE II ST G, Q-8, CAGUAS, PR 00727
(787) 202-9850
Mailing address
BAIROA GOLDEN GATE II ST G, Q-8, CAGUAS, PR 00727
(787) 202-9850
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4117
PR
Other
Enumeration date
10/19/2018
Last updated
12/09/2024
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