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Individual

NICOLE MARIE SANTANA RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SW

Contact information

Practice address
AVE. VALERO ESQUINA OSVALDO MEDINA, FAJARDO, PR 00738
(787) 860-1987
Mailing address
HC 1 BOX 11616, CAROLINA, PR 00987-9685
(787) 206-4051

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
15697
PR

Other

Enumeration date
03/13/2023
Last updated
03/13/2023
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