Individual
WANDA CABAN JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
BO ALTOZANO, SAN SEBASTIAN, PR 00685
(787) 514-3336
(178) 789-5839
Mailing address
PO BOX 872, SAN SEBASTIAN, PR 00685-0872
(787) 514-3336
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
8339
PR
Other
Enumeration date
03/05/2014
Last updated
03/05/2014
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