Individual
MISS YAHAIRA AILEEN FELICIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LND
Contact information
Practice address
1551 CALLE ALDA, SAN JUAN, PR 00926-2709
(787) 356-2134
Mailing address
HC 1 BOX 8515, HATILLO, PR 00659-7415
(787) 356-2134
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
2030
PR
Other
Enumeration date
02/13/2018
Last updated
02/13/2018
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