Individual
PRISCILLA CANCEL OLMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
AVE 199 LAS CUMBRES CARR. ANTIGUA -845, TRUJILLO ALTO, PR 00976
(787) 617-7889
Mailing address
HC 71 BOX 7549, CAYEY, PR 00736-9791
(787) 617-7889
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10687
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4644987
—
PR
Enumeration date
12/28/2022
Last updated
12/28/2022
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