Organization
NORTHEASTERN, PNA CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALDEMAR HESS R PH (PRESIDENT)
(787) 257-0709
Entity
Organization
Contact information
Practice address
AVE ROBERTO CLEMENTE BLOQ 132 # 11, VILLA CAROLINA, CAROLINA, PR 00985
(787) 257-0709
(787) 276-4275
Mailing address
PO BOX 3628, CAROLINA, PR 00985-3628
(787) 257-0709
(787) 276-4275
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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