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Individual

MR. HERMENEGILDO MARCANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MRC

Contact information

Practice address
VISTAS DE RIO GRANDE II ALMACIGO ST. 540, RIO GRANDE, SC 00745-8579
(787) 413-8150
Mailing address
VISTAS DE RIO GRANDE II ALMACIGO STREET 540, RIO GRANDE, PR 00745-8579
(787) 413-8150

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CCSS 115
PW

Other

Enumeration date
09/02/2009
Last updated
09/02/2009
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