Individual
MARLEEN DENNISE FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CARR 2 KM 62.7 BO SABANA HOYOS, ARECIBO, PR 00612
(787) 881-2440
Mailing address
HC 1 BOX 2680, SABANA HOYOS, PR 00688-8817
(787) 512-6098
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
11172
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6258677
DRIVER LICENCE
PR
Enumeration date
01/17/2019
Last updated
01/17/2019
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