Individual
KIOMARA IVELISSE VARGAS CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
CC9 CALLE 138, CAROLINA, PR 00983-2023
(787) 598-5832
Mailing address
CC9 CALLE 138, CAROLINA, PR 00983-2023
(787) 598-5832
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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