Individual
DAGMAR JOMARIE CORREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, MT
Contact information
Practice address
CARR 132 KM 4.5, BARRIO MACANA, GUAYANILLA, PR 00656
(787) 630-9149
Mailing address
HC 1 BOX 6131, GUAYANILLA, PR 00656-9444
(787) 630-9149
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
12
PR
Other
Enumeration date
07/26/2017
Last updated
08/06/2020
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