Individual
ELBA BLAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27 CALLE TULIPAN, AGUADILLA, PR 00603-4721
(787) 366-1989
Mailing address
27 CALLE TULIPAN, AGUADILLA, PR 00603-4721
(787) 366-1989
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5379
PR
Other
Enumeration date
05/26/2011
Last updated
05/26/2011
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