Individual
STEPHANIE AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3 CALLE ANGEL G MARTINEZ, SABANA GRANDE, PR 00637-1914
(939) 910-7929
Mailing address
J7 CALLE 11, VILLA ALBA, SABANA GRANDE, PR 00637
(787) 204-1370
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
72619
PR
183700000X
Pharmacy Technician
5560
PR
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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