Individual
MS. EDANILKA MEDINA SUSTACHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
URB. LOS ARBOLES 341 GRANADA STREET, RIO GRANDE, PR 00745
(787) 602-0547
Mailing address
URB. LOS ARBOLES 341 GRANADA STREET, RIO GRANDE, PR 00745
(787) 602-0547
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6832
PR
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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