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Individual

MARYANN COLELLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPM

Contact information

Practice address
CARR 1 KM 79.4, SALINAS, PR 00751
(802) 624-6983
Mailing address
HC 2 BOX 6828, SALINAS, PR 00751-9615

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
18080001
PR

Other

Enumeration date
09/18/2018
Last updated
09/18/2018
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