Individual
LYCELIZ HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
66 URB CATALANA, BARCELONETA, PR 00617-0061
(787) 915-3000
Mailing address
PO BOX 59, MOCA, PR 00676
(787) 392-9066
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2039
PR
Other
Enumeration date
03/05/2018
Last updated
03/05/2018
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