Individual
ENID CANALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28 CALLE ESTRELLA, URB LA MARINA, CAROLINA, PR 00979
(787) 605-8798
Mailing address
CALLE ESTRELLA #28, URB LA MARINA, CAROLINA, PR 00979
(787) 605-8798
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
3708
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3708
LICENSE
PR
Enumeration date
04/20/2007
Last updated
07/08/2007
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