Individual
NEISHMA MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYCHOLOGY
Contact information
Practice address
206 CALLE EMETERIO HERNANDEZ, PASEO DE LOS ARTESANOS, LAS PIEDRAS, PR 00771-9671
(939) 639-0388
Mailing address
206 CALLE EMETERIO HERNANDEZ, PASEO DE LOS ARTESANOS, LAS PIEDRAS, PR 00771-9671
(939) 639-0388
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
5492
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5492
LICENCIA
PR
Enumeration date
05/10/2017
Last updated
05/10/2017
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