Individual
DR. KENNETH JOEL JUNCO NIEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
JARDINES FAGOT CALLE ARTAMISA 2721, PONCE, PR 00716
(787) 923-1141
Mailing address
JARDINES FAGOT CALLE ARTAMISA 2721, PONCE, PR 00716
(787) 923-1141
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3243
PR
Other
Enumeration date
02/11/2009
Last updated
02/11/2009
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