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Individual

MRS. GLENDALY BAEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
HC 83 BOX 6204, VEGA ALTA, PR 00692-9706
(787) 883-2913
(787) 270-2593
Mailing address
PO BOX 346, DORADO, PR 00646-0346
(787) 883-2913
(787) 270-2593

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
2478
PR

Other

Enumeration date
06/18/2008
Last updated
06/18/2008
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