Individual
ASTRID NOEMI GANDARILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CALLE MARGINAL EE 10 URB. VILLA CONTESSA, LOCAL A 1ER PISO, BAYAMON, PR 00959
(939) 945-8725
Mailing address
F1 CALLE 13, BAYAMON, PR 00959-4829
(787) 533-3996
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2263
PR
103T00000X
Psychologist
Primary
3759
PR
Other
Enumeration date
07/02/2018
Last updated
11/01/2021
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