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Individual

KRISTINA A DE LA MATA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
22 CALLE GONZALEZ GIUSTI STE 208, GUAYNABO, PR 00968-3011
(787) 406-9322
Mailing address
G2 CALLE 7, URBANIZACION EL MIRADOR, SAN JUAN, PR 00926-7578
(787) 406-9322

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1825
PR

Other

Enumeration date
10/31/2012
Last updated
10/31/2012
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