Individual
MISS LEIRALY GAUTIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
HF16 CALLE LIZZIE GRAHAM # 7MA, TOA BAJA, PR 00949-3634
(787) 795-2935
Mailing address
URB ROYAL TOWN, CALLE 6 D 6, BAYAMOM, PR 00956
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
1478
PR
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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