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Individual

ROSA E CARRASQUILLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
14 M7 STRETT, BAYAMON GARDENS, BAYAMON, PR 00957
(787) 753-6354
Mailing address
14 M7 STRETT, BAYAMON GARDENS, BAYAMON, PR 00957

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4171
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
065284
REGISTER
PR
01
4171
LICENCE
PR
Enumeration date
05/24/2007
Last updated
07/08/2007
About Stedi
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