Individual
MRS. WALESKA IVONNE GUADALUPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
BRISAS DE LAUREL, CALLE FAMBOYANES 1013, PONCE, PR 00780
(787) 457-9497
Mailing address
REPTO. SABANETAS, CALLE 3, H-19, PONCE, PR 00716
(787) 457-9497
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6233
PR
Other
Enumeration date
06/29/2010
Last updated
06/29/2010
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