Individual
YAILIN GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDA
Contact information
Practice address
621 AVE. SAN LUIS, ARECIBO, PR 00612-3666
(787) 817-1245
Mailing address
PO BOX 3434, AGUADILLA, PR 00605-3434
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
2031
PR
Other
Enumeration date
08/25/2017
Last updated
08/25/2017
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