Individual
KERLY JULISSA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
URB. ESTANCIAS DEL RIO CALLE FLAMBOYAN #115, CANOVANAS, PR 00729
(787) 236-3598
Mailing address
URB. ESTANCIAS DEL RIO CALLE FLAMBOYAN #115, CANOVANAS, PR 00729
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
22318
PR
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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